AUTOIMMUNOLOGICZNA CUKRZYCA DOROSŁYCH (LADA) – OPIS PRZYPADKU

W artykule przedstawiono przypadek 50-letniego mężczyzny z autoimmunologiczną cukrzycą dorosłych uznawaną początkowo za cukrzycę typu 2. Obraz kliniczny oraz słaba reakcja na doustne leki hipoglikemizujące po upływie 6 miesięcy od rozpoznania cukrzycy nasunęły podejrzenie cukrzycy typu LADA.

Diabetes seldom causes significant diagnostic problems. The report presents a case of 50-year-old male with LADA diabetes (latent autoimmune diabetes in adults). In this case, late onset of diabetes and increased patient’s body weight were the cause of primary diagnosis of type 2 diabetes and treatment with oral antidiabetic drugs. Poor effectiveness of these drugs 6 months after diagnosis of diabetes, as well as the presence of autoimmune diseases in family members, were the reason to perform further diagnostic tests. Low concentration of C peptide and the presence of serum glutamic acid decarboxylase antibodies confirmed the diagnosis of LADA. The implementation of insulin therapy helped to restore and maintain normoglycaemia.

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