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Honeymoon phase in type 1 diabetes mellitus: A window of opportunity for diabetes reversal?

World Journal of Clinical Cases 2024年第1期12卷 9-14页

作者： Madhukar Mittal Pradakshna Porchezhian Nitin Kapoor Department of Endocrinology and Metabolism All India Institute of Medical Sciences JodhpurJodhpur 342005India Department of Endocrinology Diabetes and MetabolismChristian Medical College and HospitalVellore 632004Tamil NaduIndia

The knowledge of the pathogenesis of type 1 diabetes mellitus(T1DM)continues to rapidly evolve.The natural course of the disease can be described in four clinical stages based on the autoimmune markers and glycemic status.Not all individuals of T1DM progress in that specific sequence.We hereby present a case of T1DM with a classical third phase(honeymoon phase)and discuss the intri-cacies of this interesting phase along with a possible future promise of“cure”with the use of immunotherapies.We now know that the course of T1DM may not be in only one direction towards further progression;rather the disease may have a waxing and waning course with even reversal of type 1 diabetes concept being discussed.The third phase popularly called the“honeymoon phase”,is of special interest as this phase is complex in its pathogenesis.The honeymoon phase of T1DM seems to provide the best window of opportunity for using targeted therapies using various immunomodulatory agents leading to the possibility of achieving the elusive“diabetes reversal”in T1DM.Identifying this phase is therefore the key,with a lot of varying criteria having been proposed.

关键词： diabetes reversal diabetes remission Type 1 diabetes Honeymoon phase Immunomodulation

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Successful lifestyle modifications may underlie umbilical cordmesenchymal stromal cell effects in type 2 diabetes mellitus

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World Journal of diabetes 2023年第3期14卷 347-351页

作者： Alexandra Papadopoulou Konstantinos I Papadopoulos Occupational and Environmental Health Services Feelgood LundLund 22363SkåneSweden Department of Research and Development THAI StemLife Co.Ltd.Bangkok 10310BangkokThailand

Type 2 diabetes mellitus(T2DM)is a lifelong condition and a grave threat to human health.Innovative efforts to relieve its detrimental effects are acutely needed.The sine qua non in T2DM management is consistent adherence to a prudent lifestyle and nutrition,combined with aerobic and resistance exercise regimens,together repeatedly shown to lead to complete reversal and even longterm remission.Non-adherence to the above lifestyle adjustments condemns any treatment effort and ultimately the patient to a grim fate.It is thus imperative that every study evaluating the effects of innovative interventions in T2DM objectively compares the novel treatment modality to lifestyle modifications,preferably through double-blind controlled randomization,before claiming efficacy.

关键词： Type 1 diabetes mellitus Type 2 diabetes mellitus Human umbilical cord mesenchymal stem cells diabetes remission diabetes reversal Lifestyle modifications

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