Table 3.
Clinical Characteristics Of SPIDDM Compared With AT1D And T2D
| AT1D | SPIDDM | T2D | |
|---|---|---|---|
| Age at diagnosis | Childhood to adolescence | Any age | Adulthood |
| Onset | Acute | Intermediate | Slow |
| Acute complications (e.g. ketosis) at diagnosis | Frequently | Rare | Rare |
| Micro/macro-vascular complications at diagnosis | Rare | Rare | Sometimes |
| Family history of diabetes | Sometimes | Sometimes | Frequently |
| Family history of autoimmune disease | Frequently | Frequently | Rare |
| Autoimmunity | Severely increased | increased | no change |
| Other autoimmune disease | Frequently | Frequently | Rare |
| HLA | Strongly associated | Associated | Not associated |
| BMI | Low to normal | Normal to high | High |
| Mets or its components | Rare | Sometimes | Frequently |
| Beta cell function | Severely decreased | Decreased | No change or increased |
| Decline in beta cell function | <3 months | >3 months | >years |
Abbreviations: AT1D, acute-onset type 1 diabetes; SPIDDM, Slowly progressive type 1 (insulin-dependent) diabetes mellitus; T2D, type 2 diabetes mellitus; HLA, human leukocyte antigen; BMI, body mass index; Mets, metabolic syndrome.