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Review
. 2009 May;25(4):325-8.
doi: 10.1002/dmrr.943.

C-peptide in the natural history of type 1 diabetes

Affiliations
Review

C-peptide in the natural history of type 1 diabetes

Jerry P Palmer. Diabetes Metab Res Rev. 2009 May.

Abstract

Type 1 diabetes is diagnosed when the patient's endogenous insulin secretion decreases to a level which results in hyperglycemia. After diagnosis, insulin secretion continues to decline. As a reference for clinical trials trying to preserve endogenous beta-cell function in patients with recently diagnosed type 1 diabetes, in this short review I attempt to summarize the natural history of endogenous beta-cell function after the diagnosis of type 1 diabetes.

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Figures

Figure 1
Figure 1. Rate of Change of Peak C-Peptide over Peri-Onset period
Rates of change in peak C-peptide in the perionset period. Shown are the rates of change of peak C-peptide levels according to intervals before and after diagnosis. C-peptide levels changed minimally between~12 and 6 months before diagnosis. There was a decline in the 6 months before diagnosis. There was a decline in the 6 months before diagnosis that was more substantial in the period after diagnosis.

References

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