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Advances in β-cell replacement therapy for the treatment of type 1 diabetes
by
de Koning, Eelco J P
, Vantyghem, Marie-Christine
, Rickels, Michael R
, Pattou, François
in
Allografts
/ Beta cells
/ Blood & organ donations
/ Blood glucose
/ Diabetes
/ Diabetes mellitus
/ Diabetes mellitus (insulin dependent)
/ Diabetes Mellitus, Type 1 - surgery
/ Disease control
/ Glucose
/ Graft Rejection - prevention & control
/ Humans
/ Hypoglycemia
/ Immunoglobulins
/ Immunological tolerance
/ Immunosuppression
/ Immunosuppressive agents
/ Implantation
/ Insulin
/ Insulin-Secreting Cells - transplantation
/ Islet cells
/ Kidney transplantation
/ Kidneys
/ Lability
/ Life Sciences
/ Metabolism
/ Pancreas
/ Pancreas transplantation
/ Pancreatic islet transplantation
/ Stem cells
/ Therapy
/ Transplantation
/ Transplants & implants
/ Treatment Outcome
/ Xenografts
2019
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Advances in β-cell replacement therapy for the treatment of type 1 diabetes
by
de Koning, Eelco J P
, Vantyghem, Marie-Christine
, Rickels, Michael R
, Pattou, François
in
Allografts
/ Beta cells
/ Blood & organ donations
/ Blood glucose
/ Diabetes
/ Diabetes mellitus
/ Diabetes mellitus (insulin dependent)
/ Diabetes Mellitus, Type 1 - surgery
/ Disease control
/ Glucose
/ Graft Rejection - prevention & control
/ Humans
/ Hypoglycemia
/ Immunoglobulins
/ Immunological tolerance
/ Immunosuppression
/ Immunosuppressive agents
/ Implantation
/ Insulin
/ Insulin-Secreting Cells - transplantation
/ Islet cells
/ Kidney transplantation
/ Kidneys
/ Lability
/ Life Sciences
/ Metabolism
/ Pancreas
/ Pancreas transplantation
/ Pancreatic islet transplantation
/ Stem cells
/ Therapy
/ Transplantation
/ Transplants & implants
/ Treatment Outcome
/ Xenografts
2019
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Advances in β-cell replacement therapy for the treatment of type 1 diabetes
by
de Koning, Eelco J P
, Vantyghem, Marie-Christine
, Rickels, Michael R
, Pattou, François
in
Allografts
/ Beta cells
/ Blood & organ donations
/ Blood glucose
/ Diabetes
/ Diabetes mellitus
/ Diabetes mellitus (insulin dependent)
/ Diabetes Mellitus, Type 1 - surgery
/ Disease control
/ Glucose
/ Graft Rejection - prevention & control
/ Humans
/ Hypoglycemia
/ Immunoglobulins
/ Immunological tolerance
/ Immunosuppression
/ Immunosuppressive agents
/ Implantation
/ Insulin
/ Insulin-Secreting Cells - transplantation
/ Islet cells
/ Kidney transplantation
/ Kidneys
/ Lability
/ Life Sciences
/ Metabolism
/ Pancreas
/ Pancreas transplantation
/ Pancreatic islet transplantation
/ Stem cells
/ Therapy
/ Transplantation
/ Transplants & implants
/ Treatment Outcome
/ Xenografts
2019
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Advances in β-cell replacement therapy for the treatment of type 1 diabetes
Journal Article
Advances in β-cell replacement therapy for the treatment of type 1 diabetes
2019
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Overview
The main goal of treatment for type 1 diabetes is to control glycaemia with insulin therapy to reduce disease complications. For some patients, technological approaches to insulin delivery are inadequate, and allogeneic islet transplantation is a safe alternative for those patients who have had severe hypoglycaemia complicated by impaired hypoglycaemia awareness or glycaemic lability, or who already receive immunosuppressive drugs for a kidney transplant. Since 2000, intrahepatic islet transplantation has proven efficacious in alleviating the burden of labile diabetes and preventing complications related to diabetes, whether or not a previous kidney transplant is present. Age, body-mass index, renal status, and cardiopulmonary status affect the choice between pancreas or islet transplantation. Access to transplantation is limited by the number of deceased donors and the necessity of immunosuppression. Future approaches might include alternative sources of islets (eg, xenogeneic tissue or human stem cells), extrahepatic sites of implantation (eg, omental, subcutaneous, or intramuscular), and induction of immune tolerance or encapsulation of islets.
Publisher
Elsevier Ltd,Elsevier Limited,Elsevier
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