Whats new in type 1 diabetes?
The incidence of type 1 diabetes is increasing, but its development can be predicted, and new treatment may improve its control. On page 750 Devendra and colleagues review recent developments in the aetiology and management of type 1 diabetes. Its recent increase may be due to a combination of genetic susceptibility and environmental factors. The development of type 1 diabetes can now be predicted with reasonable accuracy by measuring antibodies, but a method of prevention is yet to come. Newer insulin treatments reduce the risks of hypoglycaemia; islet transplantation and new immunosuppressive regimens can be curative, but cannot be used for all patients.