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Type I Diabetes

Edexcel A-level BiologyGene ExpressionLesson 32 of 39

Type 1 diabetes is an autoimmune disease. The body's own immune system destroys the insulin-secreting beta (β) cells in the islets of Langerhans of the pancreas. Without insulin, blood glucose concentration cannot be lowered after a meal.

At present, patients inject insulin several times a day and must monitor their blood glucose. This does not match insulin release to need as precisely as working beta cells, so there is a risk of hypoglycaemia and of long-term damage to eyes, kidneys and nerves.

Islet transplants from dead donors can free some patients from injections, but donors are scarce and patients must take immunosuppressant drugs for life.

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Key terms in this lesson

autoimmune disease
A disease in which the immune system attacks and destroys the body's own cells or tissues.
islets of langerhans
Groups of hormone-secreting cells in the pancreas, including insulin-secreting beta cells and glucagon-secreting alpha cells.
hypoglycaemia
An abnormally low blood glucose concentration.

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