Insulin-dependent diabetes mellitus (IDDM) is the result of a genetically associated autoimmune mediated process in which the insulin-producing pancreatic beta-cells are thought to be destroyed by autoreactive T cells [1,2]. The disease process is accompanied by autoreactive T cells and autoantibodies to various islet antigens. Many IDDM patients develop humoral immune responses to insulin [3,4], islet cells [5], tyrosine phosphatase homologue islet cell antibody ((ICA)512/islet cell antigen (IA)-2, 37 K) [6-9] and glutamic acid decarboxylase (GAD)65 [10][11][12]. Even though autoantibodies may not be directly involved in the destructive process, 60 % of new-onset diabetic patients are positive for insulin autoantibodies (IAA) compared to only 0.5 % of healthy control subjects [2]. The involvement of T cells in the pathogenesis has been implicated by insulitis [13], the recurrence of insulitis and diabetes after pancreas transplantation [14] and the transfer of diabetes with non-T-cell-depleted bone marrow transplants