Established T1D risk genes include the human leukocyte antigen (HLA) region, insulin (INS), protein tyrosine phosphatase non-receptor type 22 (PTPN22), interleukin-2 receptor alpha (IL2RA), and cytotoxic T-lymphocyte associated protein 4 (CTLA4), among others (12). This evidence concerns the gene CTLA4 and type 1 diabetes mellitus.