Summary
A group of 100 patients with juvenile diabetes, age at onset 1–15 years (7.1±3.9), was studied with reference to family history of diabetes (FHD), HLA-types, symptoms at onset of diabetes, and occurrence of partial postinitial remission. No significant relations were seen between HLA-types and FHD. Nor was there any correlation between FHD and age at onset of diabetes, severity of the disease at onset, or occurrence of remission. Patients with a dominant type of inheritance were insulin-dependent to the same extent as those with less pronounced or no known FHD. According to previous results, it is concluded that all children and adolescents with a newly diagnosed diabetes should receive insulin treatment immediately to minimize further loss of B-cell function.
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Bengsch N., Köbberling J., Eckert G., Willms B.: HLA-typing in juvenile diabetics with and without positive family history and in families with one and two diabetic siblings — Diabetologia15, 447, 1978.
Bøyum A.: Separation of leucocytes from blood and bone marrow — Scand. J. clin. Lab. Invest.21 (suppl. 97), 1968.
Cammidge P. J.: Diabetes mellitus and heredity — Brit. med. J.2, 738, 1928.
Cudworth A. G.: Type I diabetes mellitus — Diabetologia14, 281, 1978.
Fajans S. S., Conn J. W.: Tolbutamide-induced improvement in carbohydrate tolerance of young people with mild diabetes mellitus — Diabetes9, 83, 1960.
Fajans S. S., Floyd J. C., Tattersall J. R., Williamson S., Pek Ch., Taylor I.: The various faces of diabetes in the young changing concepts — Arch. intern. Med.136, 194, 1976.
Johansen K.: Mild carbohydrate intolerance developing into classic juvenile diabetes — Acta med. scand.189, 337, 1971.
Kissmeyer-Nielsen F., Kjerbye K. E.: Lymphocytotoxic microtechnique. Purification of lymphocytes by flotation — In:Curtoni E. S. (Ed.): Histocompatibility testing. Munskgaard, Copenhagen, 1967; p. 381.
Ludvigsson J.: Metabolic control in juvenile diabetes mellitus. The influence of some clinical, biochemical and socio-psychological factors. Linköping University Medical Dissertation 42. Zäta Tryckerierna, Linköping, 1976.
Ludvigsson J., Heding L. G.: C-peptide in children with juvenile diabetes — Diabetologia12, 627, 1976.
Ludvigsson J., Heding L. G.: Beta-cell function in children with diabetes — Diabetes27 (Suppl. 1), 230, 1978.
Ludvigsson J., Heding L. G., Larsson Y., Leander E.: C-peptide in juvenile diabetics beyond the postinitial remission period — Acta paediat. scand.66, 177, 1977.
Ludvigsson J., Säfwenberg J., Heding L. G.: HLA-types, C-peptide and insulin antibodies in juvenile diabetes — Diabetologia13, 13, 1977.
Mirouze J., Selam J. L., Pham T. C., Mendoza E., Orsetti A.: Sustained insulin-induced remissions of juvenile diabetes by means of an external artificial pancreas — Diabetologia14, 223, 1978.
Neel J. V.: Diabetes mellitus — A geneticist’s nightmare — In:Creutzfeldt W.;Köbberling J., Neel J. V. (Eds): The genetics of diabetes mellitus. Springer-Verlag, Berlin, 1976; p. 1.
Neel J. V.: Towards a better understanding of the genetic basis of diabetes mellitus — In:Creutzfeldt W., Köbberling J., Neel J. V. (Eds): The genetics of diabetes mellitus. Springer-Verlag, Berlin, 1976; p. 240.
Rotter J. I., Rimoin D. L.: Heterogeneity in diabetes mellitus — Update 1978 — Diabetes27, 599, 1978.
Söderhjelm L., Tenstam J., Hamfelt A.: Juvenil diabetes med lindrigt förlopp — Opusc. med.10, 1977.
Tattersall R. B.: Mild familial diabetes with dominant inheritance — Quart. J. Med.43, 339, 1974.
Tattersall R.: The inheritance of maturity-onset type diabetes in young people — In:Creutzfeldt W., Köbberling J., Neel J. V. (Eds): The genetics of diabetes mellitus. Springer-Verlag, Berlin, 1976; p. 88.
Tattersall R. B., Fajans S. S.: A difference between the inheritance of classical juvenile-onset and maturity-onset type diabetes in young people — Diabetes24, 44, 1975.
Terminology and Classification — In: Report of the workshop on etiology and pathogenesis of insulin-dependent diabetes mellitus, Philadelphia 1978; p. 3.
Thorsby E.: Cell specific and common antigens on human granulocytes and lymphocytes demonstrated with cytotoxic heteroantibodies — Vox Sang. (Basel)13, 194, 1967.
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Ludvigsson, J., Larsson, Y. Family history in classical juvenile onset diabetes in relation to severity of the disease. Acta diabet. lat 16, 305–310 (1979). https://doi.org/10.1007/BF02587651
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DOI: https://doi.org/10.1007/BF02587651