Type 1.5 diabetes, commonly known as Latent Autoimmune Diabetes in Adults (LADA), is a disease. LADA is a kind of diabetes that resembles both kind 1 and Type 2 diabetes.

LADA, like Type 1 diabetes, is an autoimmune illness in which the body's immune system assaults and kills pancreatic insulin-producing cells. LADA, like Type 2 diabetes, usually develops later in life.

LADA is difficult to identify since it frequently exhibits signs similar to Type 2 diabetes, such as insulin resistance and a delayed development of symptoms. LADA, on the other hand, requires a different treatment than Type 2 diabetes and, like Type 1 diabetes, may eventually necessitate insulin therapy.

It's crucial to remember that if you have worries about your health or feel you may have diabetes, you should see a doctor for accurate diagnosis and treatment.

Symptoms 

The symptoms of type 1.5 diabetes might be hazy at first. They could include:

a lot of thirst unexplained weight loss excessive urination, even at night hazy vision and tingling nerves

If ignored, type 1.5 diabetes can progress to diabetic ketoacidosis, a disease in which the body cannot use sugar as fuel owing to a lack of insulin and begins to burn fat. This results in the production of ketones, which are poisonous to the body.

Causes 

To understand what causes type 1.5 diabetes, it is necessary to first grasp the distinctions between the other major forms of diabetes.

Type 1 diabetes is classified as an autoimmune disease since it is caused by your body's destruction of pancreatic beta cells. These cells assist your body in producing insulin, the hormone that permits you to store glucose (sugar) in your body. People with type 1 diabetes must inject insulin into their bodies in order to survive.

Type 2 diabetes is characterised largely by your body's resistance to the effects of insulin. Insulin resistance is induced by a combination of genetic and environmental factors, including a high-carbohydrate diet, inactivity, and obesity. Type 2 diabetes can be treated with lifestyle changes and oral medications, but many people will additionally require insulin.

Damage to your pancreas caused by antibodies against insulin-producing cells can cause type 1.5 diabetes. A family history of autoimmune disorders, for example, may potentially play a role. When the pancreas is injured in type 1.5 diabetes, the body, like in type 1, kills pancreatic beta cells. Insulin resistance may occur if the individual with type 1.5 diabetes is also overweight or obese.

Diagnoses 

Type 1.5 diabetes develops in maturity, which is why it is sometimes confused with type 2 diabetes. The majority of patients with this kind of diabetes are over the age of 40, and some get it in their 70s or 80s.

Obtaining a LADA diagnosis can be time-consuming. People (and physicians) sometimes think they have type 2 diabetes since it manifested later in life.

Metformin, a type 2 diabetes drug, can help manage symptoms of type 1.5 diabetes until your pancreas quits producing insulin. That's when many folks realise they've been dealing with LADA all along. Typically, the development to the requirement for insulin is significantly faster than in type 2 diabetes, and the reaction is much faster as well.

People with type 1.5 diabetes are more likely to satisfy the following criteria:

They are not overweight. They are over the age of 30 when they are diagnosed. They have been unable to control their diabetic symptoms by oral drugs or dietary and lifestyle adjustments.

The following tests can be used to identify any kind of diabetes:

a fasting plasma glucose test performed on a blood draw after you've fasted for eight hours an oral glucose tolerance test performed on a blood draw after you've fasted for eight hours, two hours after you've taken a high-glucose beverage

a random plasma glucose test performed on a blood sample that examines your blood sugar without regard to when you last ate

Your blood can also be checked for particular antibodies that are present when your type of diabetes is the result of an autoimmune reaction in your body.

Treatment 

Type 1.5 diabetes is caused by your body's inability to produce enough insulin. However, because it develops gradually, oral diabetes medication can, at least initially, help to treat it.

People with type 1.5 diabetes may also test positive for at least one of the antibodies found in people with type 1 diabetes. As your body's insulin production slows, you'll require insulin as part of your treatment. People with LADA frequently require insulin within five years of diagnosis.

Insulin therapy is the primary way of treatment for type 1.5 diabetes. Insulin and insulin regimens come in a variety of forms. Because the amount of insulin you require can change on a daily basis, it is critical to monitor your glucose levels with frequent blood sugar testing.