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Type 1 diabetes mellitus is a very serious disorder that generally occurs among children and young adults with a peak age at onset at puberty. Males and females are equally affected. Type 1 diabetes is caused by the autoimmune destruction of the beta cell of the pancreas, which normally produces insulin. Therefore, individuals with type 1 diabetes require daily insulin injections to survive. Because of its severity, most cased are hospitalized at disease onset. Although type 1 diabetes is relatively rare, incidence rates vary dramatically across countries. The highest rates are in Finland and Sardinia (greater than 20/100,000 per year) and the lowest are in Asia (less than 3/100,000 per year). The incidence of type 1 diabetes in the US is moderate (15-20/100,000 per year)

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