Diabetes in the parents of children with Type I diabetes
| العنوان: | Diabetes in the parents of children with Type I diabetes |
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| المؤلفون: | E. A. M. Gale, I. F. Douek, Kathleen M Gillespie, Polly J. Bingley |
| المصدر: | Diabetologia. 45:495-501 |
| بيانات النشر: | Springer Science and Business Media LLC, 2002. |
| سنة النشر: | 2002 |
| مصطلحات موضوعية: | Adult, Male, Parents, Pediatrics, medicine.medical_specialty, Adolescent, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Population, Disease, Human leukocyte antigen, Nuclear Family, Major Histocompatibility Complex, Immunopathology, Diabetes mellitus, Internal Medicine, medicine, Humans, Age of Onset, Child, education, Autoantibodies, education.field_of_study, business.industry, Insulin, Autoantibody, Infant, Middle Aged, medicine.disease, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, El Niño, Child, Preschool, Immunology, Female, business |
| الوصف: | Aims/hypothesis. Previous studies have reported an excess of Type II (non-insulin-dependent) diabetes mellitus in parents of children with Type I (insulin-dependent) diabetes mellitus. We set out to characterise the clinical and immunogenetic features of diabetes in parents of affected children, and to test the hypothesis that there is no excess of Type II diabetes within this population. Methods. Clinical details were collected from 3164 parents of 1641 children with Type I diabetes participating in the Bart's-Oxford study of childhood diabetes. Islet cell antibodies, antibodies to GAD and IA-2, and HLA class II genotype were determined in a subset of this group. Individuals were assigned a classification of Type I diabetes on the basis of clinical features and measurement of islet autoantibodies. Results. Of 184 parents with diabetes, 138 (75 %) were on insulin. At least one islet autoantibody was detected in 90 (59 %) of 152 parents tested, and of 116 who were HLA-typed, 23 (20 %) had the highest risk genotype HLA-DRB1*03-DQAff1*0501-DQB1*0201 / DRB1*04-DQAff1*0301-DQB1*0302. Of 46 non-insulin-treated parents, 12 had islet autoantibodies. Of all parents, 141 (4.5 %) were therefore classified as having Type I diabetes, and 31 (0.98 %) as Type II diabetes; 12 could not be classified because of missing data or samples. Conclusion/interpretation. Autoimmune diabetes can present late and without immediate need for insulin treatment in parents of children with the disease. Previous studies have categorised this as Type II diabetes. Our study suggests that there is no excess of non-autoimmune diabetes in the families of children with Type I diabetes. [Diabetologia (2002) 45: ▪–▪] |
| تدمد: | 1432-0428 0012-186X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::737f826b4418e6722cac2b23cd689bf5Test https://doi.org/10.1007/s00125-002-0790-0Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....737f826b4418e6722cac2b23cd689bf5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14320428 0012186X |
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