糖尿病と臨床実践のジャーナル

抽象的な

A Systematic Review of the Type 1 Diabetes Mellitus and Autoimmune Diseases: Personalized Medicine in Diabetes Mellitus

Acha Javier

Diabetes mellitus affects approximately 382 million individuals worldwide and is a leading cause of morbidity and mortality. Over 40 and nearly 80 genetic loci influencing susceptibility to type 1 and type 2 diabetes, respectively, have been identified. Additionally, there is emerging evidence that some genetic variants help to predict response to treatment. Other variants confer apparent protection from diabetes or its complications and may lead to development of novel treatment approaches. Currently, there is clear clinical utility to genetic testing to find the at least 1% of diabetic individuals who have monogenic diabetes. Diagnosing many of these currently underdiagnosed types of diabetes enables personalized treatment, resulting in improved and less invasive glucose control, better prediction of prognosis and enhanced familial risk assessment. Efforts to enhance the rate of detection, diagnosis and personalized treatment of individuals with monogenic diabetes should set the stage for effective clinical translation of current genetic, pharmacogenetic and pharmacogenomic research of more complex forms of diabetes.