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Updated: May 20, 2026

Electrochemiluminescence Assays for Human Islet Autoantibodies
Published on: March 23, 2018
Fasting hypoglycaemia and postprandial hyperglycaemia as a prodrome of type 1 diabetes mellitus
Nayaz Rafeullah1, Nicola Cackett, Khalid Hussain
1Departments of Endocrinology, Great Ormond Street Hospital for Children NHS Trust, and The Institute of Child Health, University College London, London, UK.
Abstract:
The pathophysiology of type 1 diabetes mellitus (DM) involves the selective autoimmune destruction of the pancreatic beta-cells [Pihoker et al.: Diabetes 2005;54(suppl 2):S52-S61]. The onset of type 1 DM is characterised by hyperglycaemia. Islet cell antibody (ICA), anti-insulin, anti-glutamic acid decarboxylase and the antibody against tyrosine phosphatase-like protein known as ICA-512 (IA-2) usually appear before the clinical onset of DM and are markers of the autoimmune process. Hypoglycaemia in type 1 DM is a common complication and a result of the interaction between excess insulin administration and a compromised glucose counterregulatory hormonal response [Cryer: Endocrinol Metab Clin North Am 2010;39:641-654]. Spontaneous fasting hypoglycaemia alternating with hyperglycaemia prior to the onset of antibody-positive type 1 DM has not been described before.
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