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Opinion: New Diabetes Drug Signals Shift to Preventing Autoimmunity

A therapy for type 1 diabetes is the first to treat patients before symptoms appear, paving the way toward preventing this and other autoimmune diseases.

Written byJane Buckner, MD and Carla Greenbaum, MD
| 4 min read
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Eighty million Americans have an autoimmune disease. Most such diseases are lifelong and often debilitating. They have no cure, and treating them is estimated to cost more than $100 billion annually, not counting lost productivity. Until recently, prediction and screening haven’t been a focus for these diseases because we had no way to slow or prevent them. But late last year, the US Food and Drug Administration (FDA) approved a therapy that could shift the paradigm of how we treat these diseases to earlier intervention—and ultimately, prevention.

The first revolution in autoimmune disease treatment was the transition from treating symptoms to treating the underlying cause: the immune system attacking “self.” Rheumatoid arthritis, inflammatory bowel disease, and multiple sclerosis are all routinely treated with immunotherapy. These therapies are not curative but have improved the quality of life for those with these diseases.

Now, another paradigm shift is underway. In type 1 ...

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Meet the Author

  • Jane Buckner

    Jane Buckner, MD, is the president of the Benaroya Research Institute at Virginia Mason (BRI), affiliate professor of immunology at the University of Washington, and affiliate professor of Medicine, Division of Rheumatology, also at the University of Washington, and a partner at the Allen Institute for Immunology. Dr. Buckner received her bachelor’s degree in chemistry from Carleton College, and her medical degree from Johns Hopkins School of Medicine. See a list of Dr. Buckner’s publications here.

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  • Carla Greenbaum

    Carla Greenbaum, MD, is director of the Diabetes Program and Center for Interventional Immunology at BRI and the director of the NIH-sponsored TrialNet Clinical Network Hub. After medical school at Brown University, she completed her endocrinology fellowship at the University of Washington. See a list of Dr. Greenbaum’s publications here

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