期刊
JOURNAL OF DIABETES INVESTIGATION
卷 13, 期 6, 页码 1105-1108出版社
WILEY
DOI: 10.1111/jdi.13757
关键词
COVID-19; Type 1 diabetes; Vaccine
The COVID-19 vaccine has been reported to potentially cause or worsen diabetes. A Japanese woman who received two doses of Moderna COVID-19 vaccine was diagnosed with new-onset type 1 diabetes after eight weeks. This suggests a potential link between the vaccine and the development of diabetes.
The vaccine for the coronavirus disease 2019 (COVID-19) has been reported to potentially cause or worsen diabetes. A 73-year-old Japanese woman received two doses of Moderna COVID-19 vaccine. Four weeks after the second vaccination, her glycemic control began to deteriorate, and 8 weeks after the second vaccination, the patient was diagnosed with new-onset type 1 diabetes that was strongly positive for autoantibodies and showed a disease-susceptible human leukocyte antigen haplotype, DRB1*04:05:01-DQB1*04:01:01. The glucagon stimulation test suggested an insulin-dependent state, and induction of intensive insulin therapy brought about fair glycemic control. The time period from the COVID-19 vaccination to the development of type 1 diabetes was relatively longer than to the onset or exacerbation of type 2 diabetes, as previously reported, suggesting the complicated immunological mechanisms for the destruction of beta-cells associated with the vaccination. In recipients with the disease-susceptible haplotypes, one should be cautious about autoimmune responses for several months after the vaccination.
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