Table 3. Differences in Clinical and Genetic Features between LADA and T1DM.
LADA | T1DM | |
---|---|---|
Age at diagnosis | >30 Years | Childhood/adolescence (rarely in adulthood) |
Family history of diabetes | Negative or positive | Negative or positive |
HLA susceptibility | Increased | Importantly increased |
Onset | Subclinical (rarely acute) | Acute |
Rate of long-term complications at diagnosis | Low | Low |
Risk of acute complications at diagnosis | Low | Increased |
C-peptide levels at diagnosis | Decreased but still detectable | Non detectable (rarely decreased) |
Autoimmunity | Mild increased | Importantly increased |
Ketosis | Rare | Rare |
Insulin resistance | Mild increased | Absent (rarely increased) |
β-Cell function | Decreased (−) | Loss of function |
Insulin requirement | >6 Months after diagnosis | At diagnosis |
Body mass index | Normal (rarely overweight or obese) | Normal (or underweight) |
Cardiovascular risk | Increased | Increased |
Lipid profile | Normal to hypertriglyceridemia | Normal (especially) |
LADA, latent autoimmune diabetes in adults; T1DM, type 1 diabetes mellitus; HLA, human leukocyte antigen.