LADA Treatment And Prevention

Treatment And Prevention

Diabetes Prevention and Treatment: Types of Diabetes and True Stories of Diabetic Patient (Diabetes Reset Book 1)

1.Distinguishing LADA diabetics from diabetics with type 2 diabetes is important .

Since insulin resistance is minimal or non-existent in LADA diabetes, medications designed to reduce insulin resistance such as Avandia and Actos are not effective.

Also, several of the oral drugs used to treat Type 2 diabetes stimulate the beta cells to produce insulin, and because LADA involves an autoimmune attack which is stimulated by the production of insulin at the beta cells, stimulating insulin production by the beta cells with drugs may increase the ferocity of the attack, killing more beta cells.

So it is very important to get a correct diagnosis so you can avoid the drugs that stimulate insulin production by the beta cells.

These drugs include the sulfonylureas like Amaryl and Glipizide and may also include the incretin drugs, Byetta and Januvia because they also stimulate insulin production by the beta cells.

Other medications that stimulate the pancreas to produce insulin, slow digestion of carbohydrates, or reduce excess glucose production by the liver are often effective in controlling the blood sugar for a few years.

Because LADA develops slowly, someone with LADA may be able to produce enough of their own insulin to keep sugar levels under control without needing insulin for a number of months or sometimes even years after the initial diagnosis of diabetes.

Insulin will almost certainly be required at some point in the future.

In some cases, insulin therapy may be postponed.

However, there is evidence to suggest that starting insulin treatment soon after a diagnosis of LADA will help to better preserve the pancreas’ ability to produce insulin.

Regular blood glucose testing is advised for people with LADA at a similar number of tests per day that are advised for people with type 1 diabetes.

This means that it is advisable to test your blood sugar levels before each meal and before bed.

One major benefit for patients with Type 1.5 LADA diabetes is that when their blood sugars are controlled they usually do not have the high risk for heart problems more often found with the high cholesterol and blood pressure seen in true Type 2 diabetes.

2.Diet treatment in LADA is similar to that in classic type 1 diabetes.

carbohydrate counting for diabetics

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Obese LADA patients benefit from restriction in calories consumed and increased levels of physical activity.

Eat a healthy balanced diet with low glycemic index and low glycemic load.

People with diabetes are able to eat exactly like the rest of their family does.

Modern day nutrition guidelines for those with diabetes offer quite a few choices, they are flexible and allow diabetics to fit in special-occasion or favorite foods.

A healthy diet consisting of whole grains, vegetable, fruits, heart healthy fats and lean proteins should be kept by everyone regardless of whether or not they are diabetic.

If you are diabetic you do not have to have “special” meals, the whole family can eat the same; healthy.

 

Foods such as pasta, cereal, bread and rice are considered starchy foods but they provide carbohydrates which are what give the body energy.

Other foods that also contain carbohydrates are milk, desserts, yogurt and fruit, carbohydrates are something that everyone needs a bit off, even diabetics.

When you consume more carbohydrates than you burn that is when you will gain weight.

Space carbohydrate grams throughout the day.

When a person exceeds 5 hours without eating carbohydrates, the pancreas is forced to release glucagon to stimulate the liver to release glucagon.

If carbohydrate grams are spread accordingly, there is a lesser need for glucagon.

The important thing is to be aware of the amount of each healthy food groups you need to eat in order to maintain safe blood glucose levels and a healthy weight range.

Starchy foods that are high in fiber and whole grain are a great choice for general good nutrition.

Fats that are found in oils, margarine and salad dressings do not immediately affect the blood glucose levels.

That being said eating a fatty meal can slow down the process of digestion making it more difficult for your insulin to work, this could possibly cause elevated glucose levels hours after you have eaten.

Your blood cholesterol can be raised by some fats which increases the risk of a stroke or heart attack. These unhealthy fats are called trans fat and saturated fat and should be limited.
Shortening, butter, milk, cheese and red meat are all sources of saturated fat.

Some snack foods, margarine and fast foods contain trans fats.

Fat is also very high in calories so if your are trying to lose weight you should avoid it.

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Just because you are diabetic you do not need to completely cut all sodium and salt from your diet. However, being as a diabetic is more likely than someone who is not diabetic to suffer from high blood pressure which can cause heart disease they should consider cutting back on the amount of sodium they consume.

Here are few examples of foods that are high in sodium:canned vegetables,salad dressings,canned soups and certain cereals.

Regardless of whether or not you have high blood pressure it is important to be careful with the amount of sodium you consume.

There are individuals who are “salt sensitive” therefore after eating foods with a high salt content they may be experience a spike in their blood pressure levels.

3.Exercise regularly.

 

The 7 Step Diabetes Fitness Plan: Living Well and Being Fit with Diabetes, No Matter Your Weight (Marlowe Diabetes Library)

Doctors should advise diabetics about exercise programs suited to their individual needs and perform follow-up evaluations to insure that patients are adhering to the plan

It is a great way to build and retain muscle mass and consume excess blood sugar. With the help of regular, properly fueled physical activity, the pancreas need not produce as much insulin or glucagon.

Optimal exercise is a minimum of 30 minutes of exercise 5 days a week over and above usual activity. Optimal time to exercise: 1 to 2 hours after any meal.

4.If You’re Depressed, Get Help

If you’re depressed, you are much less likely to exercise and eat well. But the health dangers don’t end there.

Stanford University scientists think that depression itself alters body chemistry in profound ways that spell trouble for anyone at risk for diabetes.

Rates of insulin resistance were 23 percent higher among depressed women than among women who weren’t depressed, regardless of body weight, exercise habits, or age.

5.Get Better Sleep

A chronic lack of sleep leads to weight gain and reduces your body’ sensitivity to insulin.

In one Yale school of Medicine study of 1,709 men, those who averaged five to six hours of slumber per night doubled their risk of diabetes.

Studies of women have found similar results.

6.Get Out The Tape Measure

Women whose waists measure 35 inches or more and men whose midsection measure 40 inches or more are more likely to have fat deep in their abdomens, which can triple the risk of diabetes while you’re probably overweight if your waist is big, researchers report that they’re seeing more people at a normal weight who also have big waists, so don’t think it’s enough to simply watch the numbers on the scale.

For more great Health and Nutrition Tips refer to the website positivehealthwellness.com.

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7.Ingest adequate water.

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Those with LADA have a greater chance of forming ketones than a person with type 2 diabetes.

The less insulin they produce, the greater the rise of ketones and the greater the ph imbalance in the blood.

For those 5’3” and under a minimum of 48 ounces of water a day; For those over 5’3”, a minimum of 64 ounces of water a day.

Ketoacidosis is a short-term complication of LADA, particularly once the pancreas has lost much of its ability to produce insulin.

People with LADA should be aware of the signs of ketoacidosis and how to test for ketones if needed.

The risks of long term complications of diabetes will be similar to the risks in people with type 1 and type 2 diabetes.

The possible long term complications of diabetes include:

Heart disease and stroke

Retinopathy (retinal disease)

Nephropathy (kidney disease)

Neuropathy (nerve disease)

Foot problems

Diabetes, including latent autoimmune diabetes is a chronic illness that can have devastating complications.

However, it is possible for most persons with diabetes to actively participate in their daily health care needs and dramatically reduce the risk of diabetes complications.

Diabetes education, motivation, and state of mental health all play an important role in how well a person with LADA will be able to manage their disease.

 

If you have any information,questions, or feedback you would like to include in this post.

Please email momo19@diabetessupportsite.com or leave your comments below.

 

 

Comparison between LADA, Type 1 Diabetes and Type 2 Diabetes

Comparison between LADA, Type 1 Diabetes and Type 2 Diabetes

Diabetes – the road to success: Diabetes, Type 1 Diabetes Management, Type 2 Diabetes, Gestational Diabetes, Diabetes 2, Complete guide to Diabetes!

LADA is neither classified as type 2 diabetes or type 1 diabetes but considered somewhere in between. It is a form of type 1 diabetes that has similarities and differences to both type 1 and type 2 diabetes.

1.Onset: Type 1 diabetes onsets rapidly and at a younger age than does LADA. Both LADA and type 2 onset is slow, over many months or years.

2.Family history: There is often an absence of family history of type 2 diabetes in a LADA patient’s family, but a genetic marker of HLA genes found in type 1 and LADA, but not in type 2 diabetes. LADA does not  usually affect children and is uncommon in young adults (age 25–30). It is most often diagnosed after age 35.

3.Antibodies: Persons with type 1 diabetes and LADA usually test positive for certain (same) antibodies that are not present in type 2 diabetes.

4.GAD antibodies: Persons with LADA usually test positive for GAD antibodies, whereas in type 1 diabetes these antibodies are more commonly seen in adults rather than in children.

5.Insulin sensitivity: Persons with LADA are not insulin resistant (and may be insulin sensitive) as in the case of type 2 diabetes and prediabetes.

6.Lifestyle and excess weight: Type 2 diabetes may onset as a result of a sedentary lifestyle and excess body weight (especially when excess weight is carried about the center, or in those with an “apple” shaped body).

These factors are not thought of as contributing factors to the onset of type 1 diabetes or LADA.

Persons with LADA are often normal body weight or thin and are not insulin resistant.

Persons with type 2 diabetes are often insulin resistant and overweight.

For more great Health and Nutrition Tips refer to the website positivehealthwellness.com.

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7.Prognosis: About 80% of all persons initially diagnosed with type 2, who also have GAD antibodies, will become insulin dependent within six years.

LADA occurs slowly, but progresses towards insulin dependency.

8.Treatment: Although LADA may appear to initially respond to similar treatment (lifestyle and medications) as type 2 diabetes, it will not halt or slow the progression of beta cell destruction.

People with LADA will eventually become insulin dependent.

If you have any information,questions, or feedback you would like to include in this post.

Please email momo19@diabetessupportsite.com or leave your comments below.

Latent Autoimmune Diabetes Facts

Latent Autoimmune Diabetes Facts

Insulin or Death: My Journey with LADA Diabetes

The term “latent autoimmune diabetes in adults” (LADA) is used more commonly than “slow diabetes” or “diabetes 1.5” and is probably a more accurate description.

LADA is a controversial diagnosis in the diabetes community.

Roughly 10 percent of adults with diabetes actually have LADA, making it even more widespread than Type 1.

However, many of these diabetics were initially diagnosed with Type 2 diabetes.

Latent autoimmune diabetes in adults (LADA) is a term used to describe a form of autoimmune diabetes that resembles Type 1 diabetes, but has a later onset and slower progression toward an absolute insulin requirement.

Adults with LADA may initially be diagnosed as having Type 2 diabetes based on their age, particularly if they have risk factors for Type 2 diabetes such as a strong family history or obesity.

LADA is sometimes referred to as type 1.5 diabetes. This is not an official term but it does illustrate the fact that LADA is a form of Type 1 diabetes that shares some characteristics with Type 2 diabetes.

As a form of Type 1 diabetes, LADA is an autoimmune disease in which the body’s immune system attacks and kills off insulin producing cells.

The reasons why LADA can often be mistaken for Type 2 diabetes is it develops over a longer period of time than Type 1 diabetes in children or younger adults.

Whereas Type 1 diabetes in children tends to develop quickly, sometimes within the space of days,

LADA develops more slowly, sometimes over a period of years.

Autoantibodies and their effect on beta cell health may be the key to defining the relationships among Type 1, Type 2, and LADA.

Scientists have discovered several different types of auto­antibodies related to diabetes.

People with Type 1 have higher levels and more types of these proteins than do those with LADA, which may be the reason beta cells are destroyed faster in Type 1 than in LADA.

In Type 2 diabetes, autoantibodies are generally absent and, as a consequence, beta cell decline is the slowest.

Genetically, LADA has features of both Type 1 and Type 2 diabetes.

So, in autoantibodies and genetics, LADA appears to fall somewhere between Types 1 and 2 on the diabetes spectrum, though perhaps closer to Type 1.

People with LADA are often thin, so if you are thin and are told you have Type 2 diabetes, you should demand the antibody tests that are used to diagnose LADA.

The antibodies tested for are: GAD antibodies, Islet cell antibodies, and more rarely, tyrosine phosphatase antibodies.
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But not all people with LADA are slim.

People with defective autoimmune genes are also prone to get thyroid disease and rheumatoid arthritis both of which can promote obesity, the first because incorrectly treated thyroid disease will make you fat and the latter because it limits mobility and hence the ability to exercise and because it is often treated with steroids that promote weight gain.

At first, LADA can be managed by controlling your blood glucose with diet, weight reduction if appropriate, exercise and, possibly, oral medications.

But as your body gradually loses its ability to produce insulin, insulin shots will eventually be needed.

People with LADA benefit from being put onto full basal/bolus insulin regimens as soon as possible.

The sooner you start insulin the easier it will be to control your blood sugar with insulin for many years to come.

A Japanese study in 2008 concluded that early insulin treatment may keep beta cells in the business of producing insulin for diabetics with LADA.

Also medicines being developed to prevent or cure Type 1 diabetes may also turn out to be effective against LADA.

Insulin shots are painless and if you have been running high blood sugars for a while, you will feel much, much better once you start using insulin to get normal blood sugars.

The Warning Signs You May Have LADA

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1. You are diagnosed with Type 2 diabetes while at a normal weight.

2.A family history of Type 1 diabetes.

There is a genetic tendency towards developing autoimmune diabetes, so if you have a close family member who has autoimmune diabetes, it is more likely that you have that same genetic make up and the same tendency towards developing autoimmune diabetes.

3. Whatever your weight, either you or a member of your family has some other autoimmune disease such as thyroid disease, rheumatoid arthritis, lupus, or multiple sclerosis.

4. You lower your carbohydrate intake shortly after diagnosis to no more than 15 grams a meal and still have a fasting blood sugar over 110 mg/dl and blood sugars that rise 40 mg/dl or more after each meal.

5. No matter what your weight, you do not see a dramatic drop in your blood sugar when you take metformin, Avandia, Actos, Januvia or Byetta in combination with a lowered carbohydrate intake.

6. Your blood sugar deteriorates significantly over the period of a year despite treatment with oral drugs and carbohydrate restriction.

Symptoms Of LADA

Symptoms of LADA may occur suddenly and could include:

1.Extreme thirst

2.Frequent urination

3.Drowsiness or lethargy

4.Sugar in urine

5.Sudden vision changes

6.Increased appetite

7.Sudden weight loss

8.Fruity or sweet odor on the breath

9.Heavy, labored breathing

10,Stupor or unconsciousness

If you experience any of these symptoms, contact your health-care provider immediately.

The exact causes of LADA are not known, although researchers have identified certain genes that are associated with a higher diabetes risk.

Comparison between LADA, Type 1 Diabetes and Type 2 Diabetes

Comparison between LADA, Type 1 Diabetes and Type 2 Diabetes

Diabetes – the road to success: Diabetes, Type 1 Diabetes Management, Type 2 Diabetes, Gestational Diabetes, Diabetes 2, Complete guide to Diabetes!

LADA is neither classified as type 2 diabetes or type 1 diabetes but considered somewhere in between. It is a form of type 1 diabetes that has similarities and differences to both type 1 and type 2 diabetes.

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How to Test for LADA

GAD (glutamic acid decarboxylase) antibodies

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The most common test for LADA is one that looks for GAD (glutamic acid decarboxylase) antibodies.

Glutamic acid decarboxylase (GAD) is an enzyme which is found in all human cells.

It catalyzes the degradation of glutamic acid, part of the cycle for the disposal of a waste (ammonia) in the body.

The presence in the blood of self-antibodies to GAD is an early marker of the process that leads to the destruction of insulin producing islet cells, and thus of Type 1 diabetes.

However, a small number of people with autoimmune diabetes will not have GAD antibodies, but they will have islet cell antibodies and/or tyrosine phosphatase antibodies.

So a lack of GAD antibodies does not entirely rule out LADA. Another issue is that very early on in the disease process there may be no detectable antibodies, but over time they may emerge.

The other important test for LADA is the fasting C-peptide test.

A very low C-peptide result suggests that the beta cells have stopped making insulin, possibly because they are dead.

People with Type 2 diabetes often test with normal or high levels of C-peptide.

So a low C-peptide level is suggestive of LADA, though it should be confirmed with antibody tests.

LADA does not present like type 1 diabetes with significant weight loss and ketoacidosis from rapidly progressive β-cell failure.

Because of the slow progressive β-cell failure, LADA presents similarly to type 2 diabetes, with elevated blood glucose values and typical symptoms of hyperglycemia, such as polyuria, polydipsia, polyphagia, and visual blurring.

What To Do If You Think You Have LADA

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If you have LADA, you’d do best to get treated by an endocrinologist who specializes in treating Type 1 diabetes as you will need an up-to-date insulin regimen and the kind of diabetes education Type 1 diabetics get which will help you learn how to use insulin to get more normal blood sugar numbers.

It is important to note that people with LADA have the same risk of damaging their organs by running higher than normal blood sugar as do people with other forms of diabetes.

This means that it is essential that you learn What Is a Normal Blood Sugar and strive to achieve Healthy Blood Sugar Targets.

The best blood sugar level for a person with insulin-dependent diabetes is the lowest level they can achieve without experiencing hypos–with hypos being defined as blood sugars under 70 mg/dl.

Unlike the case with Type 2 diabetes, it is usually not possible to reverse or control LADA with carbohydrate restriction alone.

That said, it is much easier to make insulin work when you are eating a lower carbohydrate diet than it is with a high carbohydrate diet.

Healthy Swaps For Eating On A Diabetic Diet

 

For more great Health and Nutrition Tips refer to the website positivehealthwellness.com.

LADA Treatment And Prevention

 

Treatment And Prevention

Diabetes Prevention and Treatment: Types of Diabetes and True Stories of Diabetic Patient (Diabetes Reset Book 1)

1.Distinguishing LADA diabetics from diabetics with type 2 diabetes is important .

Since insulin resistance is minimal or non-existent in LADA diabetes, medications designed to reduce insulin resistance such as Avandia and Actos are not effective.

Also, several of the oral drugs used to treat Type 2 diabetes stimulate the beta cells to produce insulin, and because LADA involves an autoimmune attack which is stimulated by the production of insulin at the beta cells, stimulating insulin production by the beta cells with drugs may increase the ferocity of the attack, killing more beta cells.

So it is very important to get a correct diagnosis so you can avoid the drugs that stimulate insulin production by the beta cells.

These drugs include the sulfonylureas like Amaryl and Glipizide and may also include the incretin drugs, Byetta and Januvia because they also stimulate insulin production by the beta cells.

Other medications that stimulate the pancreas to produce insulin, slow digestion of carbohydrates, or reduce excess glucose production by the liver are often effective in controlling the blood sugar for a few years.

Because LADA develops slowly, someone with LADA may be able to produce enough of their own insulin to keep sugar levels under control without needing insulin for a number of months or sometimes even years after the initial diagnosis of diabetes.

Insulin will almost certainly be required at some point in the future.

In some cases, insulin therapy may be postponed.

However, there is evidence to suggest that starting insulin treatment soon after a diagnosis of LADA will help to better preserve the pancreas’ ability to produce insulin.

Regular blood glucose testing is advised for people with LADA at a similar number of tests per day that are advised for people with type 1 diabetes.

This means that it is advisable to test your blood sugar levels before each meal and before bed.

One major benefit for patients with Type 1.5 LADA diabetes is that when their blood sugars are controlled they usually do not have the high risk for heart problems more often found with the high cholesterol and blood pressure seen in true Type 2 diabetes.

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People with LADA diabetes comprise an important section of the diabetic population.

Although LADA can occur in any age group, including children and adolescents,it is characterized predominantly by adult age at onset (30–40 years),mainly nonobese body type, gradually leading to insulin dependency, characteristically low C-peptide levels, and marked presence of GAD autoantibodies.

Thus determination of C-peptide levels and GAD autoantibodies is strongly recommended for confirmatory diagnosis of LADA.

Appropriate diagnosis of LADA would prevent misdiagnosis as type 2 diabetes and would help in optimum treatment of LADA diabetes so that residual β-cell function is preserved and the further autoimmune destruction of β-cells is delayed.

If you have any information,questions, or feedback you would like to include in this post.

Please email momo19@diabetessupportsite.com or leave your comments below.