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A 40-year-old female asked:

Mum had type1 diabetes. dad has latent autoimmune diabetes adults. my fasting blood glucose is high. a1c blood test is ok. i have no family history of type 2. slim. active. healthy diet. i have hashimotos. could this be autoimmune not type 2?

2 doctor answers2 doctors weighed in
Dr. Hiep Le
Dr. Hiep Leanswered
Nephrology and Dialysis 44 years experience
It's difficult to differentiate LADA and type 2 diabetes mellitus in early phase unless you go through further testing. However, the time you need Insulin for controlling hyperglycemia comes much earlier in LADA (6 months to a year) compared with type 2 diabetes mellitus which can be treated successfully with diet, exercise and oral medications.
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Dr. Gulshan Minocha
Diabetology 51 years experience
Type 1 diabetes has less genetic risk than type 2. As long as your hbA1c is ok just continue following A1C every 3-6 months. Normal A1c is 5.6 or less. if there is increase in A1C then getting test every 3 months is a good idea.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Sep 23, 2021


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