What is LADA?
Type 1, Type 2 Misdiagnosis More Common Than You Think
Since my first pregnancy in 2000, I've had a lot of diabetes diagnoses thrown my way: gestational diabetes, prediabetes, insulin resistance, and one doctor told me I even had type 2 diabetes. But I was young, thin, in good shape, and no one in my immediate family had diabetes, so a type 2 diabetes diagnosis made no sense. Yet, no one thought to test me for type 1 diabetes, an autoimmune disorder, because I had none of the classic type 1 symptoms, like extreme thirst, weight loss, frequent urination, or diabetic ketoacidosis (DKA),
Eight years later, while pregnant with my third son, it became clear that something more than gestational diabetes or prediabetes was at play. I was exhausted all of the time, and an oral glucose tolerance test performed very early in the pregnancy showed blood glucose numbers over 250."I want to be tested for type 1 diabetes," I told my doctor. My doctor agreed and ordered a test for the antibody GAD, a marker of type 1 diabetes.
I went to the doctor's office to receive the results of my blood test. I had indeed tested positive for the GAD antibody. "You have type 1 diabetes," he said. "But it's probably LADA."
"LADA?" I said. I was vaguely aware of the term, but I had no idea what it meant. It turns out, I'm not alone. While almost everyone has heard of diabetes, next to no one (including most people with diabetes) knows what LADA is.
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Glucagon is one of those things that hasn't changed much in the diabetes world, in terms of packaging, dosing, method of delivery, since the time of my diagnosis in 1982. It's also one of those items that you buy in the same vein as say a generator. You might never use it, but it sure as heck is handy to have should your lights go out. The first time I was given glucagon was on the front lawn of my childhood home. What I remember of that night was going to bed after a...