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Volume 356:1499-1501 April 12, 2007 Number 15
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Diabetes Treatment — Bridging the Divide
Kristina I. Rother, M.D.

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 by Larsen, C. M.

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 by Larsen, C. M.
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In the simplest terms, diabetes mellitus results when pancreatic beta cells are unable to maintain adequate insulin secretion to prevent hyperglycemia. A combination of genetic and environmental factors causes the underlying beta-cell failure. In type 1 diabetes, a T-cell–mediated autoimmune response against beta cells appears to be the main disease mechanism, whereas insulin resistance is the key metabolic abnormality in type 2 diabetes. Yet the way in which insulin resistance triggers beta-cell failure remains obscure. The report by Larsen et al. in this issue of the Journal (pages 1517–1526) provides insight into a shared mechanism of beta-cell dysfunction in type . . . [Full Text of this Article]


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Dr. Rother is an attending physician and principal investigator in the Clinical Endocrinology Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD.


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