Insulin secretion and sensitivity in the prediction of type 1 diabetes in children with advanced beta-cell autoimmunity
: Siljander HT, Hermann R, Hekkala A, Lahde J, Tanner L, Keskinen P, Ilonen J, Simell O, Veijola R, Knip M
Publisher: BIOSCIENTIFICA LTD
: 2013
: European Journal of Endocrinology
: EUROPEAN JOURNAL OF ENDOCRINOLOGY
: EUR J ENDOCRINOL
: 4
: 169
: 4
: 479
: 485
: 7
: 0804-4643
DOI: https://doi.org/10.1530/EJE-13-0206
Conclusions: Young age, higher BMI SDS, reduced FPIR and higher levels of IAA and IA-2A predicted T1D in young children with HLA-DQB1-conferred disease susceptibility and advanced beta-cell autoimmunity. Disease risk estimates were successfully stratified by the assessment of metabolic status and BMI. The role of insulin resistance as an accelerator of the disease process was minor.