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In this article, we address four key issues concerning autoimmune (type 1) insulin-dependent
diabetes mellitus (IDDM): 1) Although acute mortality from IDDM is rare, chronic complications
shorten lifespan by one third; 2) IDDM results from chronic autoimmune destruction
of the pancreatic beta cells, 3) Prediabetes can be recognized by the presence of
various anti-islet autoantibodies, and 4) Once effective therapy is available to prevent
IDDM, we expect that state-wide or nation-wide islet autoantibody screening programs
will be developed.
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