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In classic type 1 diabetes, people have just stopped making insulin. Their pancreas (the organ that makes insulin) doesnÕt work anymore. ThatÕs usually an autoimmune problem Ð itÕs something that people are born with and we donÕt know what causes it or how to prevent it. An autoimmune destruction of the cells that make insulin cause the person to be insulin-deficient and thatÕs what causes type 1 diabetes.