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Correspondence
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Volume 347:1116-1117 October 3, 2002 Number 14
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Anti-CD3 Monoclonal Antibody in New-Onset Type 1 Diabetes Mellitus

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 by Gale, E. A.M.
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 by Herold, K. C.
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To the Editor: The report by Herold et al. (May 30 issue)1 on the use of anti-CD3 monoclonal antibody in patients with new-onset type 1 diabetes and the accompanying editorial by Gale2 leave important questions unanswered. The authors suggest that treatment with anti-CD3 antibody mitigates the deterioration in insulin production and improves metabolic control. Moreover, they suggest that because of differences in the glycosylated hemoglobin levels between the treatment and control groups at entry, the true effect of the antibody treatment may even have been greater than that reported.

I would suggest a different possibility: regression toward the mean. It . . . [Full Text of this Article]


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