Vol 9, No 5 (2008): Practical Diabetology
Review article
Published online: 2008-10-23
Diabetes type of LADA
Diabetologia Praktyczna 2008;9(5):220-226.
Abstract
Since long years people thought, that diabetes type 1
is reserved only for children and adolescent. LADA is
a specific form of autoimmune diabetes, diagnosed
mainly in adulthood. Early intervention with insulin
is very important in LADA for protection a residual
b-cells function, resulting in a better metabolic control
of diabetes. No symptoms of ketoacidosis, age
of diagnosis over 30 years and initially good response
to diet and oral medications often leed to diagnose
type 2 diabetes. To make a better chance for early
diagnosis of LADA we need to find some typical features
for this type of diabetes. Some authors propose
clinical screening criteria: age of onset (30–50 years),
acute symptoms of hyperglycemia, lack of obesity,
personal and family history of autoimmune diseases.
Actually the most important for diagnosis LADA
is presence of b-cells autoantibodies, particularly
glutamid acid decarboxylase antibodies.
Keywords: autoimmune diabetesLADAGADA