One common autoimmune disease that you could discuss with your students is diabetes mellitus type 1, more commonly known as type 1 diabetes. Type 1 diabetes is caused when the immune system attacks and destroys beta cells in the pancreas that normally make insulin. Before the effects of type 1 diabetes become visible, autoantibodies can be detected. Even if a person has autoantibodies, they are not guaranteed to get type 1 diabetes, but they do have an increased likelihood of developing diabetes over their lifetime. The more types of autoantibodies that are present, the greater the risk.
The incidence varies from about 0.013% of people in Northern Europe and the United States, to a high of 0.035% of people in Scandinavia and a low of 0.001% of people in Japan and China. There is a genetic component to this condition, but it is not completely genetic—environmental factors also matter. If it were completely genetic, then if one identical twin had diabetes, the other twin would also get it; however, medical records show that if one identical twin has diabetes, the other twin is only 30–50% likely to also get it. This, among other medical evidence, shows that both genetics and environment matter.
In this activity, students will use M&M's candies and a die to model the immune system and find out how a person's predisposition (genetics and other factors) affect whether they get an autoimmune disease or not.