A Review on Latent Autoimmune Diabetes in Adults

被引:5
作者
Ravikumar, Vijay [1 ]
Ahmed, Ariba [1 ]
Anjankar, Ashish [2 ]
机构
[1] Datta Meghe Inst Higher Educ & Res, Jawaharlal Nehru Med Coll, Med Educ, Wardha, India
[2] Datta Meghe Inst Higher Educ & Res, Jawaharlal Nehru Med Coll, Biochem, Wardha, India
关键词
type 1 and type 2 diabetes mellitus; dpp-4; inhibitors; metformin; intensive insulin therapy; latent autoimmune diabetes in adults (lada); BETA-CELL FUNCTION; CHRONIC COMPLICATIONS; EARLY INSULIN; TYPE-1; LADA; AUTOANTIBODIES; MULTICENTER; PHENOTYPE; DIAGNOSIS; AGE;
D O I
10.7759/cureus.47915
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Latent autoimmune diabetes (LADA) is an unique form of diabetes that has characteristics of both type 1 and type 2 diabetes. Type 1.5 diabetes also known as LADA is occasionally confused for type 2 diabetes because there is delay in presenting features and early insulin independence. LADA, on the other hand, is an autoimmune disorder that differs from type 2 diabetes in that autoantibodies against pancreatic beta cells are what characterise it. Insulin production eventually diminishes due to the autoimmune destruction of pancreatic beta cells as a result of the pathophysiology of LADA. Autoantibodies to glutamic acid decarboxylase (GAD), islet antigen-2 (IA-2), and insulin are frequently detected in LADA patients. These autoantibodies have important implications for therapy strategies and are essential in differentiating LADA from type 2 diabetes. LADA clinical management is very challenging. The aim of this article is to view the characteristics, disease presentation, diagnostic challenges, progression and treatment modalities of LADA.
引用
收藏
页数:8
相关论文
共 43 条
[1]   Latent Autoimmune Diabetes in Adults Differs Genetically From Classical Type 1 Diabetes Diagnosed After the Age of 35 Years [J].
Andersen, Mette K. ;
Lundgren, Virve ;
Turunen, Joni A. ;
Forsblom, Carol ;
Isomaa, Bo ;
Groop, Per-Henrik ;
Groop, Leif ;
Tuomi, Tiinamaija .
DIABETES CARE, 2010, 33 (09) :2062-2064
[2]   Age-dependent decline of β-cell function in type 1 diabetes after diagnosis: a multi-centre longitudinal study [J].
Barker, A. ;
Lauria, A. ;
Schloot, N. ;
Hosszufalusi, N. ;
Ludvigsson, J. ;
Mathieu, C. ;
Mauricio, D. ;
Nordwall, M. ;
Van der Schueren, B. ;
Mandrup-Poulsen, T. ;
Scherbaum, W. A. ;
Weets, I. ;
Gorus, F. K. ;
Wareham, N. ;
Leslie, R. D. ;
Pozzilli, P. .
DIABETES OBESITY & METABOLISM, 2014, 16 (03) :262-267
[3]   IA-2 antibody prevalence and risk assessment of early insulin requirement in subjects presenting with type 2 diabetes (UKPDS 71) [J].
Bottazzo, GF ;
Bosi, E ;
Cull, CA ;
Bonifacio, E ;
Locatelli, M ;
Zimmet, P ;
Mackay, IR ;
Holman, RR .
DIABETOLOGIA, 2005, 48 (04) :703-708
[4]   Latent autoimmune diabetes in adults in a South Asian population of the UK [J].
Britten, Abigail C. ;
Jones, Karen ;
Toern, Carina ;
Hillman, Magnus ;
Ekholm, Birgitte ;
Kumar, Sudhesh ;
Barnett, Anthony H. ;
Kelly, Marilyn Ann .
DIABETES CARE, 2007, 30 (12) :3088-3090
[5]   Incidence of type 1 and type 2 diabetes in adults aged 30-49 years [J].
Bruno, G ;
Runzo, C ;
Cavallo-Perin, P ;
Merletti, F ;
Rivetti, M ;
Pinach, S ;
Novelli, G ;
Trovati, M ;
Cerutti, F ;
Pagano, G .
DIABETES CARE, 2005, 28 (11) :2613-2619
[6]   High titer of autoantibodies to GAD identifies a specific phenotype of adult-onset autoimmune diabetes [J].
Buzzetti, Raffaella ;
Di Pietro, Sergio ;
Giaccari, Andrea ;
Petrone, Antonio ;
Locatelli, Mattia ;
Suraci, Concetta ;
Capizzi, Marco ;
Arpi, Maria Luisa ;
Bazzigaluppi, Elena ;
Dotta, Francesco ;
Bosi, Emanuele .
DIABETES CARE, 2007, 30 (04) :932-938
[7]   Adult-onset autoimmune diabetes: current knowledge and implications for management [J].
Buzzetti, Raffaella ;
Zampetti, Simona ;
Maddaloni, Ernesto .
NATURE REVIEWS ENDOCRINOLOGY, 2017, 13 (11) :674-686
[8]   Insulin and glucagon secretion in patients with slowly progressing autoimmune diabetes (LADA) [J].
Carlsson, Å ;
Sundkvist, G ;
Groop, L ;
Tuomi, T .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2000, 85 (01) :76-80
[9]   Etiology and Pathogenesis of Latent Autoimmune Diabetes in Adults (LADA) Compared to Type 2 Diabetes [J].
Carlsson, Sofia .
FRONTIERS IN PHYSIOLOGY, 2019, 10
[10]   Genetic similarities between latent autoimmune diabetes in adults, type 1 diabetes, and type 2 diabetes [J].
Cervin, Camilla ;
Lyssenko, Valeriya ;
Bakhtadze, Ekaterine ;
Lindholm, Eero ;
Nilsson, Peter ;
Tuomi, Tiinamaija ;
Cilio, Corrado M. ;
Groop, Leif .
DIABETES, 2008, 57 (05) :1433-1437