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Not that strange. Adult-onset T1D is just as common as Juvenile-onset; it just happens to often get misdiagnosed as T2D.

Both T1D and RA are autoimmune, so it's not surprising they showed up around the same time. He was probably infected with a virus a few years earlier which caused the production of auto-antibodies; Epstein-Barr and CMV are famous for this, and it takes a few years for enough damage to take place that symptoms show up. (Symptomatic T1D starts at around 90% beta cell loss.)



I was aware of the autoimmune nexus but not that adult-onset type 1 is common or the likely mechanism that’d trigger them. Thanks


Adult-onset being common is actually why they stopped calling it “juvenile diabetes” and now call it “Type 1 diabetes”.


Apparently the flu can trigger it too.




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