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UK Doctors Cure Type 1 Diabetes

ayden writes "The BBC is reporting that a 61-year-old man has become the first person in the UK to be cured of type 1 diabetes thanks to a groundbreaking cell-transplant technique. More info here."

25 of 96 comments (clear)

  1. Whoo hoo!! by grub · · Score: 3, Funny


    I'm off to 7-Eleven for a Pepsi Super Big Gulp!

    --
    Trolling is a art,
    1. Re:Whoo hoo!! by UWC · · Score: 3, Funny
      I'm off to 7-Eleven for a Pepsi Super Big Gulp!

      Ah, so you've decided to pursue Type 2, then, have you? Good luck with that.

  2. Good news! by Anonymous Coward · · Score: 2, Interesting

    From someone who has both parents being diabetic, this is great news.

    1. Re:Good news! by RootsLINUX · · Score: 5, Insightful

      Agreed. I'm also at risk for developing diabetes. Hopefully we'll see the method mature and grow more effective.

      On a side note, if they can extract the pancreas cells from dead donors, then why do they claim to have a major shortage of them? I imagine that they only need to borrow a small sliver of the dead donor's pancreas and not the whole whopper, so one dead donor can help cure tens, maybe hundreds of afflicted patients? But then again I have no idea how many people in the UK don't mind donating their organs after they're dead. Personally I see no reason not to. Spread the love, share the life! =D

      --
      Hero of Allacrost, a FOSS RPG for *NIX/*BSD/OS X/Win
    2. Re:Good news! by hubs99 · · Score: 2, Interesting

      If you are at risk for developing diabetes then you probably have diabetes type 2 in your family, not type 1 which this would cure. Type 2 can be different because although your body is still producing insulin, your body's cells are effectively ignoring it. As for you question. The reason of the shortage is for a multitude of reasons. One being the lack of organ donors, and of those donors those that will match perfectly enough for the stem cells to becmoe integrated. Also if a pancrease has on the orders of millions of cells I would suspect that only a few hundred of them are of the stem cell derivative hence the shortage. Just a postulation. Justin

    3. Re:Good news! by kpearce · · Score: 3, Informative

      so one dead donor can help cure tens, maybe hundreds of afflicted patients?
      Unfortunately not. As reported here http://www.channel4.com/news/2005/03/week_2/09_ins ulin.html more than one donor is required for each transplant.

    4. Re:Good news! by Nipok+Nek · · Score: 4, Informative

      Not true - Type II is where your body isn't correctly using the insulin it has, Type I is where the body simply doesn't make enough. Anyone (including myself) who has ever "progressed" from Type II to Type I was simply mis-diagnosed in the first place, and was always Type I.

      Nipok Nek

      --
      Why choose white shoes?
    5. Re:Good news! by bill_mcgonigle · · Score: 2, Insightful

      On a side note, if they can extract the pancreas cells from dead donors, then why do they claim to have a major shortage of them?

      Society is screwed up. Organ donation should be opt-out, not opt-in.

      --
      My God, it's Full of Source!
      OUTSIDE_IP=$(dig +short my.ip @outsideip.net)
    6. Re:Good news! by Anonymous Coward · · Score: 2, Informative

      That's incorrect, sorry.

      Type I, associated with a death of the insulin-producing islet cells of the pancreas (due to an autoimmune reaction) can indeed come from Type II diabetes.

      What typically happens, is that the first stage of NIDD (non-insulin dependent diabetes) occurs when body tissues become insulin resistant. The levels of insulin increase, as the typical levels don't reduce blood glucose sufficiently (due to a change in insulin receptors. The down-regulation comes in response to overstimulation).

      After a long enough period of this Type II diabetes, the insulin producing islet cells actually cease production and/or undergo senescence or apoptosis.

      When this happens, the body actually stops producing insulin - the person becomes Type 1 diabetic.

      It is rare when the Type 2 diabetes is managed sufficiently, but it is a known outcome.

      Disclaimer: I'm a biochemist, not a medical doctor :) Ask a doctor if you're interested in the details of this :)

  3. One word... by trentfoley · · Score: 4, Funny

    Sweet

    1. Re:One word... by daeley · · Score: 4, Funny

      Sweet

      You must have lived a very insulinated life to make a joke like that.

      --
      I watched C-beams glitter in the dark near the Tannhauser gate.
  4. The only drawback by SimianOverlord · · Score: 4, Interesting

    Is the anti-rejection drug regime. It can cause problems down the line with side-effects and with the immune system somewhat compromised, a susceptibility to infection.

    If stem cell research continues at the rate it does, even this will be solved when cord blood stored at the patients birth is encouraged to differentiate into Eyelet cells, injected back into the patient years later and begin producing insulin. No rejection problems with your own-tissue-derived cells.

    Also, this, as far as I am aware, will not help with Insulin-independent diabetic conditions.

    USians, consider writing to your senator to protest Bush policies on Stem cell research. I'm not having a pop at him - fair enough if it's a moral issue to some folks. Just register your opinion with them. It can't hurt.

    --
    Meine Schwester ist sehr, sehr reizvoll - Nietzsche
  5. The biggest problem... by Oen_Seneg · · Score: 4, Insightful

    ...I see is the need for three pancreases for the process - it'd take a lot of donations to cure every Type 1 Diabetic out there. Stiil, they interviewed the guy on the radio, and he seems happy that he's got the flexibility, so its still an improvement (drugs compared to needles - tough choice)

  6. Woah, don't drink that yet! by bluGill · · Score: 3, Insightful

    This is a cure for type I. Type I is what you get as a kid when your body never makes enough insulin. Type II is what you get when you consume so much sugar your body can't produce enough insulin.

    Drink that Super Big Gulp and you will add to your chance of getting type II, which isn't covered by this treatment. (Not to mention all the other unhealthy things about soda in general)

  7. Three? by devphil · · Score: 3, Insightful


    The articles linked only say that this patient received three transplants. Nothing more.

    Where is your source for the conclusion that every patient is going to need three transplants?

    For all these brief articles tell us, maybe one procedure would be sufficient for a diabetic in better condition; Mr Lane sounded in pretty bad shape (falling into comas on a semi-regular basis) to this here diabetic.

    For that matter, where do you get the "1 donated pancreas" == "1 islet cell transplant" equation? That's a mighty big leap to make given these scanty articles.

    --
    You cannot apply a technological solution to a sociological problem. (Edwards' Law)
  8. Type I == Juvenile Diabetes by Violet+Null · · Score: 3, Informative

    Unfortunately, it's a poor name. 50% of Type I diagnosises occur in people above the age of 18.

  9. Coca-cola: Toilet bowl cleaner! by denis-The-menace · · Score: 3, Informative

    I kid you not.
    It works great and it doesn't harm my septic tank!
    Leave it for an hour or overnight and flush in the morning.

    Now if pop can do that, imagine what it does inside you!
    Pepsi works too.

    --
    Obama's legacy: (N)othing (S)ecure (A)nywhere and (T)error (S)imulation (A)dministration
    1. Re:Coca-cola: Toilet bowl cleaner! by ikkonoishi · · Score: 2, Interesting

      My brother in law used to work at a pepsi plant. They used the diet mountain dew concentrate as floor cleaner. They had to be careful not to let it sit in one place for too long or it would eat a hole in the floor.

    2. Re:Coca-cola: Toilet bowl cleaner! by blincoln · · Score: 5, Insightful

      Now if pop can do that, imagine what it does inside you! Pepsi works too.

      I'm sure stomach acid would work at least as well as a toilet bowl cleaner. Imagine what *that* does inside of you. Oh, wait.

      --
      "...always new atoms but always doing the same dance, remembering what the dance was yesterday." -Richard Feynman
    3. Re:Coca-cola: Toilet bowl cleaner! by eraserewind · · Score: 3, Insightful

      Yeah, I hear dose lemons contain acid too. You can't trust nuthin dese days.

  10. Hopeful, even though this isn't really new by bishr · · Score: 2, Informative

    I doubt this will become the standard of care for type I diabetics.

    Why? This treatment is very complicated, costly, invovles suppressing the immune system (which has its own problems), and has had very limited success in the past. Pancreas transplantations are really nothing new (they've been doing them with bilateral kidney tranpslants for years); what's more novel here is that they've transplanted only the islet cells from the pancreas. The thing is, whatever causes type I diabetes in the first place, by killing the islet cells, has killed the transplanted iselt cells in previous attempts.

    I'm doubtful but hopeful.

    Oh, and for those with Type-II diabetes in the family, this has no relevance to you whatsoever. Sorry; the mechanism of the disease is different, though the results (too much sugar in the blood) is the same. In short, in type-I, the body doesn't produce enough insulin, and in type-II, the body is insulin-resistant (ie, less responsive to insulin).

  11. Stepping stones by Mycroft_514 · · Score: 2, Informative

    This is being tried today.

    Like insulin when it first appeared, it was cow and sheep insulin. It wasn't until years later that Humulin was developed (synthetic human insulin to you layman).

    This is the first step and assuming it works as well as it appears from this write up, then wholesale cloning of the pancreas tissue will follow.

    And for those that think this has no bearing on type II diabetis, you are shortshighted, at best, and wrong at worst. ANY time you cure a related desease, some of it becomes a significant gain to all the other related deseases.

    I'm happy even if it only cures Type I. Even though I am a type II, my brother is a type I and it wll probably help him. It's too late for my Mom.

  12. The Beeb got it wrong... this has been done before by Methionine · · Score: 4, Informative

    Not sure how this has been missed, but unless I'm mistaken, this is *not* the first time we've seen islet cell transplantation to correct Type I diabetes in patients with insulin-dependant diabetes mellitus (IDDM). From http://www.diabetes.org.uk/islets/trans/edmonton.h tm "The 'Edmonton' protocol is a procedure developed in Canada for transplanting healthy islet cells into people with Type 1 diabetes. The series of islet transplantations carried out by James Shapiro and his team since March 1999 has enjoyed levels of success that are unprecedented in the field of islet transplantation surgery. Since the Edmonton transplantation research trial began, 48 patients have undergone 92 islet infusions in Canada. The most recent statistics from Edmonton (January 2003) state that one year after transplantation 84 per cent of patients remain insulin free and that after three years, 89 per cent of patients are still producing insulin. Previous islet cell transplants have only succeeded in around eight per cent of cases. In addition to the work being carried out in Canada, approximately 200 patients have received islet transplants using the 'Edmonton' protocol or varients of the process in several centres worldwide. There are now almost 75 programmes planned to become activated within the next six to 12 months." Also, check this link from the Alberta Heritage Foundation for Medical Research: http://www.ahfmr.ab.ca/publications/newsletter/Sum mer00/sum00/inside/diabetes.feat.htm

  13. No. by mosel-saar-ruwer · · Score: 3, Insightful

    Seriously, without antibiotics, has there been ANY medical advance in the past 50+ years?

    For all intents and purposes, the answer is no.

    Of course, the pedant would argue the semantics of the word "medical", and offer up examples like

    1) Surgical device technology [to include technology used by non-surgeons, such as invasive cardiologists]

    2) Anesthetic technology [to include pain medicines]

    3) Imaging technology [CAT scans, ultrasound, etc]

    But if you define "medical breakthrough" as something along the lines of "a chemical [non-mechanical] agent that cures [not just treats the symptoms of] a disease [as opposed to a mechanical injury, like a broken bone, or a blocked artery]", then the hundreds of billions [trillions?] of dollars spent on "medical research" in the post WWII era by the western world has been, for all intents and purposes, an utter and complete waste of money.

    And if the "cure" for Type I Diabetes described here is nothing more than a partial pancreatic transplant in combination with an aggressive regimen of anti-rejection drugs, then I wouldn't classify it as a "medical" breakthrough - rather, it's just a new surgical technique.

    PS: If you [or a loved one] ever get really, really sick, keep in mind that the only person who stands a chance in hell of doing anything beneficial for you is a surgeon, not a medical doctor.

    PPS: Antibiotics, the true "medical" breakthrough of the 20th century, are primarily a tool of the surgeon, not the medical doctor.

  14. CBC reported the Edmonton Protocol -years- ago... by ivi · · Score: 2, Informative


    Reporting (on Quirks & Quarks sci show)
    success rates aproaching 90% from memory,
    albeit with some side-effects.

    The idea was to transplant islet cells
    from a healthy person into the Type 1
    sufferer.

    People queued for the chance to join the
    medical trials around the world.

    Then came word that the transplants could
    come from pigs, instead of human donors...

    So, what's new...? :-/