Cord Blood Infusion for Type 1 Diabetes Mellitus (T1DM)
Cord Blood Infusion for Type 1 Diabetes Mellitus (T1DM)
Type 1 diabetes (T1D) is still associated with tremendous morbidity and premature mortality.

 Patients require multiple daily insulin injections throughout their lives as well as close
 monitoring of their diet and blood sugar levels to prevent complications. Unfortunately,
 there is presently no permanent cure for diabetes. Whole pancreas or islet cell
 transplantation is available only to a very limited number of patients and necessitates
 potential lifelong immunosuppressive therapy. Autologous stem cell transplants have been used
 successfully for ALL (acute lymphoblastic leukemia), AML (acute myeloblastic leukemia) and
 for the treatment of a variety of cancers including breast cancer and neuroblastomas, and
 more recently for the treatment of autoimmune disorders such as multiple sclerosis (MS),
 lupus-like disease, and rheumatic disorders. Recently it was shown that bone marrow-derived
 stems cells transplanted into diabetic mice led to reduced hyperglycemia within 7 days after
 transplantation and was sustained until they were sacrificed at 35 days post-transplantation.
 The investigators' goal is to transfuse autologous umbilical cord blood into 23 children
 (Germany 10 and 20 Controls) with T1D in an attempt to regenerate pancreatic islet insulin
 producing beta cells and improve blood glucose control. As secondary goals, the investigators
 aim to track the migration of transfused cord blood stem and study the potential changes in
 metabolism/immune function leading to islet regeneration.
Inclusion Criteria:

 -  Must have a diagnosis of T1D and have stored umbilical cord blood (10 patients sought)
 at the cord bank Vita 34.

 -  TID diagnosis will be defined as having a clear history of polydipsia, polyphagia,
 polyuria, and weight loss consistent with a clinical diagnosis, diagnosis will mot be
 based solely upon the presence of autoantibodies.

 -  Cord blood meets all selection and testing criteria (see below).

 -  Normal screening values for CBC, Renal function and electrolytes (BMP).

 -  Willing to comply with intensive diabetes management

 -  Not younger than 1 year of age

 Exclusion Criteria:

 -  Have complicating medical issues that would interfere with blood drawing or
 monitoring.

 -  Require chronic use of steroids or other immunosuppressive agents for other
 conditions.

 -  Cord Blood with viability < 50%.

 -  Positive infectious disease markers from mothers blood or cord at time of collection
 (See below for details).

 -  Any evidence of illness on planned infusion date (i.e. fever >38.5 C, vomiting,
 diarrhea, wheezing, or crackles).