To the Editor: A 52-year-old man with a 36-year history of type1 diabetes mellitus complicated by hypoglycemia unawarenessreceived two intrahepatic islet-cell allografts. The glycatedhemoglobin value before transplantation was 9.3%. He received400,000 islet equivalents in the first transplantation and 512,000in the second transplantation, 5 months later. Grafts were preparedat the Joslin Diabetes Center in Boston. His immunosuppressionregimen conformed to the Edmonton protocol.1
Three weeks after the second graft, exogenous insulin was discontinued.The stimulated C-peptide concentration was 2.89 ng per milliliter.The patient did not receive exogenous insulin for 3 months,but thereafter insulin . . . [Full Text of this Article]
Rickels, M. R., Kamoun, M., Kearns, J., Markmann, J. F., Naji, A.
(2007). Evidence for Allograft Rejection in an Islet Transplant Recipient and Effect on {beta}-Cell Secretory Capacity. J. Clin. Endocrinol. Metab.
92: 2410-2414
[Abstract][Full Text]