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Type 1 Diabetes MellitusType 1 Diabetes Mellitus and Possible Causes of It

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Other Environmental Factors Recent studies have found a positive association between zinc levels in drinking water and protection against diabetes. Magnesium levels in tap water have been shown to be related to diabetes protection as well, however conflicting evidence resides with this. The protections that zinc may provide is unclear. Despite possible relationships with heavy metals and diabetes, more research must be done to ascertain the actual relationship.

Of all the evidence presented here, researchers have been unable to find the exact cause for development of IDDM. What we do know is that genetically susceptible individuals have an increased risk for diabetes. As displayed here, researchers have located genes that seem to predispose individuals to diabetes. Genes are not enough however, because not everyone who has these genes develops diabetes. Environmental factors are another part of the picture. Whether it is milk proteins, viral infections, or impaired gut function, those with genetic susceptibility tend to develop the disease after exposure to these. Identifying which factor is responsible has been difficult because exact mechanisms of the body are still unclear and tests to determine these things may not be specific or have not yet been developed. Plus, isolating one factor is not reasonable because there are a lot of overlaps in immune functions and genetics. All in all, research is headed in the right direction, but for now there is still no known cause for IDDM.

References

1. Gottlieb MD, P.A., Eisenbarth MD, Ph.D., G.S. Diagnosis and Treatment of Pre-Insulin Dependent Diabetes. Annual Review of Medicine. 1998; 49: 397-405.

2. Nepom G.T. Immunogenics and IDDM. Diabetes Review. 1993; 1: 93-103.

3. Pugliese A, Eisenbarth G.S. Human Type 1 Diabetes Mellitus: Genetic Susceptibility and Resistance. In Type 1 Diabetes: Molecular, Cellular, and Clinical Immunology, ed. G.S. Eisenbarth, K.J. Lafferty. New York: Oxford University Press. 1996; pp.

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5. Singal DP, Blajchman MA. Histocompatibility (HL-A) Antigens, Lymphocytotoxic Antibodies and Tissue Antibodies in Patients with Diabetes Mellitus. Diabetes. 1973; 22: 429-432

6. Thomsen M, Platz P, Andersen OO et al. MLC Typing in Juvenile Diabetes Mellitus and Idiopathic Addisons Disease. Transplant Review. 1975; 22: 125-147

7. Nerup J, Platz P, Andersen OO et al. HLA Antigens and Diabetes Mellitus. Lancet. 1974; ii: 864-866.

8. Risch N. Assessing the Role of HLA-Linked and Unlinked Determinants of Disease. American Journal of Human Genetics. 1987; 40: 1-14.

9. Verge C.F., Gianani R, Yu L, et al. Late Progression to Diabetes and Evidence for Chronic Beta Cell Autoimmunity in Identical Twins of Patients with Type 1 Diabetes. Diabetes. 1995; 44:1176-1179.

10. Vaarala O, et al. Cow Milk Feeding Induces Antibodies to Insulin in Children-A Link Between Cow Milk and Insulin-Dependent Diabetes Mellitus? Scandinavian Journal of Immunology. 1998; 47: 131-135.

11. Vaarala O, et al. Cow Milk Feeding Induces Primary Immunization to Insulin in Infants at Genetic Risk for Type 1 Diabetes. Diabetes. 1999; 48: 1389-1394.

12. Paronen J, et al. The Effect of Cow Milk Exposure and Maternal Type 1 Diabetes on Cellular and Humoral Immunization to Dietary Insulin in Infants at Genetic Risk for Type 1 Diabetes. Diabetes. 2000; 49: 1657-1665.

13. Vaarala O, et al. Cow's Milk Formula Feeding Induces Primary Immunization to Insulin in Infants at Genetic Risk for Type 1 Diabetes. Diabetes. 2000; 49(10):1657-1665.

14. Strobel S, Mowat A. Immune Responses to Dietary Antigens: Oral Tolerance. Immunology Today. 1998; 19: 173-181.

15. Karjalainen J, et al. A bovine albumin peptide as a possible trigger of insulin-dependent diabetes mellitus. New England Journal of Medicine. 1992; 327(5):302-307.

16. Vaarala O, et al. Cellular Immune Response to Cow’s Milk B-lactoglobulin in Patients with Newly Diagnosed IDDM. Diabetes. 1996; 45: 178-182.

17. Cavallo M.G., et al. Cell-Mediated Immune Response to B Casein in Recent-Onset Insulin-Dependent Diabetes: Implications for Disease Pathogenesis. Lancet. 1996; 348: 926-928.

18. Virtanen S.M., et al. Cow’s Milk Consumption, HLA-DQB1 Genotype, and Type 1 Diabetes Mellitus. A Nested Case-Control Study of Siblings of Children with Diabetes. Diabetes. 2000; 49: 912-917.

19. Vaarala O. The Gut Immune System and Type 1 Diabetes. Annals of the New York Academy of Sciences. 2002; 958: 39-46.

20. Menser M.A., et al. Rubella Infection and Diabetes Mellitus. Lancet. 1978; 1: 57-60.

21. McIntosh E.D., et al. A Fifty-Year Follow Up of Congenital Rubella. Lancet. 1992; 340: 414-415.

22. Pak C.Y., et al. Association of Cytomegalovirus Infection with Autoimmune Type 1 Diabetes. Lancet. 1988; 2: 1-4.

23. Ivarsson S.A., et al. The Prevalence of Type 1 Diabetes Mellitus at Follow-Up of Swedish Infants Congenitally Infected with Cytomegalovirus. Diabetes Medicine. 1993; 10: 521-523.

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Chris Theberge is the founder of the Nutrition and Food Web Archive, NutriWeb Designs, and Dietitian Designs. Visit http://www.nafwa.org for free nutrition and food-related resources.

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