Table 2. Differences in Clinical and Genetic Features between LADA and T2DM.
LADA | T2DM | |
---|---|---|
Age at diagnosis | >30 Years | Adulthood (rarely before) |
Family history of diabetes | Negative or positive | Frequently positive |
HLA susceptibility | Increased | Mild increased |
Onset | Subclinical (rarely acute) | Silent/subclinical |
Rate of long-term complications at diagnosis | Low | High |
Risk of acute complications at diagnosis | Low | Mild increased |
C-peptide levels at diagnosis | Decreased but still detectable | Normal to increased |
Autoimmunity | Mild increased | Absent |
Ketosis | Rare | Rare |
Insulin resistance | Increased/no change | Increased |
β-Cell function | Decreased | Increased or normal |
Insulin requirement | >6 Months after diagnosis | Absent or years after diagnosis |
Body mass index | Normal (rarely overweight or obese) | Overweight or obese |
Cardiovascular risk | Increased | Increased |
Lipid profile | Normal to hypertriglyceridemia | Frequently hypertriglyceridemia and/or hypercholesterolemia |
LADA, latent autoimmune diabetes in adults; T2DM, type 2 diabetes mellitus; HLA, human leukocyte antigen.