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PET Imaging Used to Monitor Beta Cell Status in Type 1 Diabetes

By MedImaging International staff writers
Posted on 02 Jul 2014

Type 1 diabetes (T1D) is a disorder that involves the progressive loss of insulin-producing beta cells, but calculating that loss has continued to mystify researchers, at least until the present. Swedish researchers are now using a radiotracer or marker and positron emission tomography (PET) scanning as a noninvasive technique to track changes in how many active beta cells are contained in an individual.

Dr. Olle Korsgren and his colleagues at the University of Uppsala (Sweden) used the imaging technology in a clinical study of 10 individuals with T1D and nine without the disease to compare the amount of beta cells in each group. They discovered that the amount or volume of active beta cells was substantially lower in the group with T1D compared to those without T1D, and the reduction was close to what researchers predicted given a loss of the majority of beta cells in the pancreas in T1D. In another study of people with type 2 diabetes, the researchers were able to use the technique to identify a progressive loss of the amount of beta cells in one person imaged repeatedly over a two-year period.

The PET imaging technique is based on recently discovered biologic processes that occur in the beta cell. One specific process in the beta cell causes the cells to take up a typically used imaging radiotracer given at the start of the procedure. The amount of the tracer that is deposited in the pancreas mostly depends on how many beta cells are alive and active. The PET scan can then detect the amount of radiotracer in the pancreas as an approximate measure of the overall amount or volume of beta cells present. The procedure takes only a few hours to complete.

This imaging technique will most likely have no role in diagnosing T1D because of the large variability of the number of beta cells among people with T1D and even among those without T1D. However, it could become a major approach for tracking the loss of beta cells in a person at risk of T1D and as a faster and more precise way to evaluate the benefit of novel beta cell survival and regeneration therapies. More human validation studies of this technique are needed before it can be used routinely.

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70 (256.06155395508): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753330 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (245.09429931641): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753330 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (48.87580871582): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (107.0499420166): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753330 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (42.915344238281): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753330 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (48.87580871582): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

105 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

106 (51.021575927734): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294753330 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (47.922134399414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294753330 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

109 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

110 (47.922134399414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294753330 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (440.83595275879): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294753330 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (509.02366638184): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (307.08312988281): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

115 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

116 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

117 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

118 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

119 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

120 (246.04797363281): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 17946.95854187): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (!!!!! 5785.2268218994): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

123 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

124 (458.95576477051): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753330 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753330 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 419482.94639587): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (319.9577331543): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (124.93133544922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (281.09550476074): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (56.028366088867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (188.11225891113): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (111.10305786133): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (266.07513427734): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (!!!!! 2379.8942565918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (504.0168762207): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (229.1202545166): SELECT name FROM jos_deeppockets WHERE id=213

136 (33.140182495117): SELECT name FROM jos_deeppockets WHERE id=213

137 (435.11390686035): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (343.79959106445): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

140 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

141 (!!!!! 13157.844543457): TRUNCATE TABLE jos_trademed_module

142 (123.02398681641): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294753330 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (63.896179199219): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294753330 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (977.0393371582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

147 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

148 (!!!!! 1430.9883117676): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

150 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

151 (62.942504882812): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753330 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753330 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (44.822692871094): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

153 (37.193298339844): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

154 (72.002410888672): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

156 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753330 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753330 AND published='1' LIMIT 1

157 (61.988830566406): select jos_twitters.link from jos_twitters where cat=10

158 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

159 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

160 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

161 (357.86628723145): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 3157.8540802002): insert into jos_banners_delta values (14615,'2025-06-19 05:56:57','216.73.216.120','view'),(14202,'2025-06-19 05:56:57','216.73.216.120','view'),(14203,'2025-06-19 05:56:57','216.73.216.120','view')

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