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Lada

6K views 5 replies 6 participants last post by  skb 
#1 ·
Wanted to pose a question.
Should people who come down with full blown type 2 as an adult be checked for lada. Seems like they should. Also wondering if there is any idea of the percent of type 2 that are lada and members of this site. How conclusive is the test? Just wondering. Personally I had never heard of it before yesterday. Joel
 
#2 ·
Joel,

Type 1 diabetes has a significant genetic component. The old school of thinking suggested that this wasn't the case with type 2.

However in the four years I've been digging around this topic, I've reached the conclusion that type 2 isn't one condition - it's a whole grab bag of things that have just one main symptom in common - hyperglycaemia.

Lately LADA has been identified as one variation LADA -- Slow Onset Type 1 Diabetes with Some Type 2 Features but I suspect there's a lot more than one version.

Yes, we have several members on the forum identified as LADA but the default assumption seems to be that if you're not a child or very young adult, you're type 2. Yes, there are tests for LADA as you'll see reading that link I gave you but getting those tests done is frequently a challenge.

However those test are important if there is the least suspicion that LADA could be the variant.

Treating a type 2 diabetic as type 1 could be described as simple overkill. Treating a type 1 or a LADA case as a simple type 2 using oral meds is probably more correctly described as slow kill.
 
#4 ·
If you have an autoimmune disease like celiac, R. Arthritis, thyroiditis, lupus, etc., you can ask for antibody testing. Type 1 is just another autoimmune disorder.

I should get tested during my next visit since I have celiac and Hashimoto's Thyroiditis. No rush, since at this point the treatment is the same (LCHF diet). My doc knows that I am tracking my glucose. Any lows and I am running to his office sooner.

BTW, type 2 also runs in my family. But again, at this point (and I am just a few months into my dx), monitoring is the best treatment for me.
 
#5 ·
My doctor says he will not test because I was older at DX, am skinny, have reactive hypo's, have food allergies ... so he is sure my B cells are fine and if I ever progress beyond pre it will be to T2.

This is wrong on so many levels. I wish he was not the best doc I have found in my small town.

I monitor closely, just in case things change.

Yes, I think those tests should be standard.
 
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#6 ·
IMO T2 is a condition dependent on a mix of Insulin resistance on one hand & pancreatic beta cell dysfunction on the other. A majority of the cases have a stronger leaning towards IR and their pancreas may be working (may be not optimally, but working). When the problem is more of or total beta cell dysfunction the patient might well be LADA. Testing for antibodies is always a good idea.
 
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