Type 1 Diabetes: Current Concepts in Epidemiology, Pathophysiology, Clinical Care, and Research

被引:88
作者
Gan, Mary Joyce [1 ]
Albanese-O'Neill, Anastasia [1 ]
Haller, Michael J. [1 ]
机构
[1] Univ Florida, Dept Pediat, Gainesville, FL 32610 USA
关键词
STEM-CELL TRANSPLANTATION; PROGRESSIVE MULTIPLE-SCLEROSIS; GLUTAMIC-ACID DECARBOXYLASE; ANTI-THYMOCYTE GLOBULIN; C-PEPTIDE LEVELS; ISLET-CELL; ANTITHYMOCYTE GLOBULIN; FOLLOW-UP; IMMUNOSUPPRESSIVE THERAPY; CD3-ANTIBODY THERAPY;
D O I
10.1016/j.cppeds.2012.07.002
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Type 1 diabetes (T1D) is an autoimmune disease mediated by a combination of genetic and environmental triggers resulting in lymphocytic infiltration of pancreatic islets, destruction of beta cells, and lifelong dependency on exogenous insulin. Although T1D is prevalent (1 in 300) and its incidence is steadily increasing worldwide (3% per year), the exact gene-environment interactions precipitating the disease remain unknown. Living with T1D is challenging for patients, families, and caregivers. Because of the relative paucity of pediatric endocrinologists, general pediatricians and other subspecialists may occasionally be faced with the task of managing diabetes-related complaints. Herein, we provide a comprehensive review of the natural history, pathophysiology, and contemporary management of T1D. In addition, recent advances in T1D research are discussed. Curr Probl Pediatr Adolesc Health Care 2012;42:269-291
引用
收藏
页码:269 / 291
页数:23
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