JDCA advocates the concept of a Practical Cure versus an Idealized Cure. A Practical Cure does not return the patient to a state as if they did not have diabetes. It seeks to deliver the result that most people and families would consider an acceptable, cure-like lifestyle. This is important to distinguish because an Idealized Cure is extremely unlikely and rationalizes a substantial amount of funding as cure related when it would be practically judged idealized and exploratory by most donor’s standards.
The JDCA is guided by its mission to cure type 1 diabetes by 2025. To provide a framework for this mission, the JDCA’s definition for a cure is as follows:
• For at least 1 year, a cure must:
- Not require blood glucose monitoring beyond once a week
- Not require carb counting
- Not restrict a patient’s diet
- Allow patients to sleep care free
- Keep A1c levels between 6-7
• A cure must be delivered through a treatment that:
- If it is surgical, requires a full recovery of less than 72 hours
- If it is pharmacological, requires no more than a reasonable pill and/or injection regimen
• A cure, which may include a drug regimen, must not have side effects or pose longer term risks greater than current complications of type 1