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Dear Dan,

I am newly diagnosed with LADA (no insulin yet), and stumbled upon your Substack via TuDiabetes' forums.

Thank you for this exemplary dose of perspective. It was refreshing (and funny), and was a helpful glimpse of further down the path.

I have some new insights on how to organize my questions for my endocrinologist, and a plan on which studies to read to better educate myself.

I am grateful to you for writing this article and for your approachable and frank (see what I did there) explanations of this process we call life with diabetes.

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that's so wonderful that you enjoyed my article. I hope you find all of them useful. :-)

In particular, you might enjoy this one: The Sound of Diabetes

https://danheller.substack.com/p/the-sound-of-diabetes

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Do you have any information on people developing T1D after covid vaccination?

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My first response (below) was a reference to an article about the COVID virus itself causing T1D, which it can do by *entering* beta cells through ACE2 receptors. (It "can", but it's still very rare.)

The vaccine is not a live virus, so it can't enter those cells. In fact, it only causes the immune system to create antibodies specifically designed to target the COVID virus directly, which doesn't look anything like beta cells or ACE2 receptors. So, no, the vaccine can't cause T1D.

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You might want to see this article: New onset diabetes, type 1 diabetes and COVID-19

https://www.sciencedirect.com/science/article/pii/S187140212030477X

From the article:

"There have been postulations regarding the potential new-onset T1DM triggered by COVID-19. This article reviews the available evidence regarding the impact and interlink between COVID-19 and Τ1DM. We also explore the mechanisms behind the viral etiology of Τ1DM."

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