When you may suspect LADA (latent autoimmune diabetes in adults), sometimes called diabetes type 1.5….
A young man, 32 years of age, with a history of ADHD and being treated with Adderall, was diagnosed with type 2 diabetes. He had symptoms upon diagnosis — frequent urination, weight loss, and his BMI was 20. He followed a low carb diet, was taking metformin, and exercised; however, his blood glucose and A1C continued to rise to 7.7%. His weight loss was thought to be associated with Adderall. When referred to me, I checked C-Peptide (<1), GAD antibodies (positive), and there were mild ketones. Suspecting LADA, I started him on insulin. After this, his health improved.
- When patients continue to lose weight and blood glucose levels go up despite excellent self-management, suspect LADA, look further, and refer to an endocrinologist.
- Don’t be afraid to start insulin. It may be the right treatment the patient needs.
Rekha B. Kumar, M.D., M.S.
Assistant Professor of Medicine
Weill Cornell Medical College
Department of Endocrinology, Diabetes, and Metabolism
Comprehensive Weight Control Program
New York, NY
|If you have a “Diabetes Disaster Averted” story, please let us know! If we feature your Disaster Averted in our Diabetes Clinical Mastery Series e-newsletter, you will receive a $25 gift card. Please click here to submit a short summary of the incident, what you feel you learned from handling the incident, and your name and title. If you prefer to remain anonymous, please let us know, but still give us your name and address (so we can send you the gift card).|
Copyright © 2015, 2020 HIPER LLC
MODY (maturity-onset diabetes of the young) and LADA (latent autoimmune diabetes in adults) can be difficult to diagnose, and are often misdiagnosed. See more about MODY/LADA in our condition center.