Article (Scientific journals)
Strategies de prevention du diabete de type 1: le point en 2003.
Philips, Jean-Christophe; Scheen, André
2003In Revue Médicale de Liège, 58 (4), p. 211-9
Peer reviewed
 

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Keywords :
Clinical Trials as Topic; Diabetes Mellitus, Type 1/genetics/immunology/prevention & control; Humans; Immunosuppressive Agents/therapeutic use; Risk Factors
Abstract :
[en] Type 1 diabetes is caused by a progressive autoimmune destruction of insulin-producing B cells of the pancreatic islets of Langerhans. The autoimmune process begins years before the B-cell destruction becomes complete, thereby providing an opportunity for early intervention. Genetic susceptibility markers have been identified and autoantibody assays make possible the identification of individuals at high risk of the disease. Prevention strategies could be implemented in first-degree relatives of type 1 diabetic patients at high risk of developing the disease because of the presence of several autoantibodies. Alternatively, they may also be considered at time of clinical diagnosis of type 1 diabetes mellitus in order to maintain residual endogenous insulin secretion that markedly contributes to long-term better glycaemic stability. Thus, the goals of prevention are to preserve B cells during the preclinical period and/or after early diagnosis by modifying immunological pathogenic processes. Several molecules have been administered or are currently investigated to achieve this protection. This article summarizes the hopes and deceptions of previous clinical trials and describes the rationale and protocols of ongoing trials dealing with the prevention of type 1 diabetes.
Disciplines :
Endocrinology, metabolism & nutrition
Author, co-author :
Philips, Jean-Christophe ;  Centre Hospitalier Universitaire de Liège - CHU > Diabétologie,nutrition, maladies métaboliques
Scheen, André  ;  Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale
Language :
French
Title :
Strategies de prevention du diabete de type 1: le point en 2003.
Alternative titles :
[en] Prevention strategies of type 1 diabetes: the focus in 2003
Publication date :
2003
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
58
Issue :
4
Pages :
211-9
Peer reviewed :
Peer reviewed
Additional URL :
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