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| ID | Type | Description | Link |
|---|---|---|---|
| 2018-03035 | Other Grant/Funding Number | Swedish Research Council | |
| 2018-00337 | Other Grant/Funding Number | FORTE | |
| NNF19OC0057274 | Other Grant/Funding Number | Novo Nordisk Foundation |
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| Name | Class |
|---|---|
| The Swedish Research Council | OTHER_GOV |
| Swedish Council for Working Life and Social Research | OTHER |
| Novo Nordisk A/S | INDUSTRY |
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Infections are proposed risk factors for type 1 diabetes in children. The investigators will examine whether a diagnosis of infectious disease also confers an increased risk of latent autoimmune diabetes in adults.
The investigators will use data from a population-based Swedish case-control study (ESTRID) with incident cases of LADA (n=597) and matched controls (n=2386). History of infectious disease are ascertained through national and regional patient registers. The investigators will estimate adjusted odds ratios (OR) with 95% CI for ≥1 respiratory (any/upper/lower), gastrointestinal, herpetic, other or any infectious disease episode, or separately, for 1 and ≥2 infectious disease episodes, within 0-1, 1-3, 3-5 and 5-10 years before LADA diagnosis/matching. Stratified analyses will be performed based on HLA risk genotypes and GADA levels.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LADA | Classification of LADA based on age ≥35 years at diagnosis, GADA positivity (≥10 U/ml) and C-peptide concentrations of ≥0.2 nmol/L (IMMULITE) or ≥0.3 nmol/L (Cobas). | ||
| Type 2 diabetes | ≥35 years, GADA negative and C-peptide concentrations of >0.60 (IMMULITE)/>0.72 (Cobas) nmol/L. | ||
| Controls | ≥35 years, free of diabetes |
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| Measure | Description | Time Frame |
|---|---|---|
| LADA | ≥35 years at diagnosis, GADA positivity (≥10 U/ml) and C-peptide concentrations of ≥0.2 nmol/L (IMMULITE) or ≥0.3 nmol/L (Cobas). | Up to 10 years |
| Measure | Description | Time Frame |
|---|---|---|
| Type 2 diabetes | also ≥35, GADA negative and had C-peptide concentrations of >0.60 (IMMULITE)/>0.72 (Cobas) nmol/L. | Up to 10 years |
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Inclusion Criteria:
Exclusion Criteria:
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35 years or older, residing in Scania or Uppsala county.
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| Name | Affiliation | Role |
|---|---|---|
| Sofia Carlsson, PhD | Karolinska Institutet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska institute | Stockholm | 17177 | Sweden |
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| Label | URL |
|---|---|
| ESTRID website | View source |
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| ID | Term |
|---|---|
| D000071698 | Latent Autoimmune Diabetes in Adults |
| D003924 | Diabetes Mellitus, Type 2 |
| D007239 | Infections |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |