Identification of a biocompatible immunoprotective membrane to prevent
graft rejection remained elusive until the development of microcapsul
es formulated in alginate high in guluronic acid. We report insulin in
dependence in a type 1 diabetic patient after encapsulated islet trans
plantation. Encapsulated human islets were injected intrapperitoneally
in a diabetic patient with a functioning kidney graft. Insulin indepe
ndence with tight glycaemic control was demonstrated 9 months after th
e procedure. These results warrant a trial of a high dose of encapsula
ted islets in early-onset diabetic patients.