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Production Assistant, Diabetes In Control

Think Out of the Box!

An extremely insulin sensitive type 1 diabetic woman in her 60s came for review of carb counting and blood sugar logs. Pt had been running blood sugars above target range. When asking pt why she thought her blood sugars were running high, she stated she was fearful of having low blood sugars.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #8: Epidemiology and Risk Factors for Type 1 Diabetes Mellitus Part 2 of 5

Type 1A diabetes results from a chronic autoimmune destruction of the pancreatic beta cells, probably initiated by exposure of a genetically susceptible individual to some environmental agent(s). This preclinical period is marked by the presence of autoantibodies to pancreatic beta-cell antigens such as insulin, GAD65 (Glutamic Acid Decarboxylase), ICA512 (called also IA-2) or ZnT8 (Zinc Transporter 8), and precedes the onset of hyperglycemia by a few years.

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