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Question: From Washington, USA: Does pre-diabetes commonly precede type 1 diabetes in older patients? My doctor has said that because of my age, 20 years old, and the fact that I have been diagnosed with impaired glucose tolerance (an OGTT was performed), I am developing type 2. However, I am not overweight at 4 feet 10 inches, 106 pounds. I do not have high blood pressure or other symptoms of syndrome X and I have no family history. I do, however, have a heavy family history of thyroid failure. I've been trying to come to grips with this situation, but now, I have begun to suffer 'lows' and I am questioning what was said to me. After reading through previous Ask the Diabetes Team questions on this site and others, I am under the impression that this doesn't happen in the progression of type 2. Should I ask for an antibody test, and if so, how much do they cost, or can they be gotten for free somehow? Please advise as I am unable to see an endocrinologist. Answer: Some patients present with a late-onset form of type 1 diabetes that looks like type 2 diabetes at first. This is referred to as LADA (late-onset autoimmune diabetes of adulthood). The difference between LADA and type 2 diabetes is that beta cell function falls off appreciatively within months to years of diagnosis. The antibody test is helpful for predicting a late-onset form of type 1 diabetes if it is positive. On the other hand, there is no therapy specific for LADA at this time. The things under your control are to chose a healthy lifestyle and get good medical follow-up care. The antibody test is not cheap and it is not usually available for free. JTL DTQ-20041025173002 Original posting 29 Oct 2004 Posted to Diagnosis and Symptoms

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search CWD --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 12:10:12 2006
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