Diabetes is of two kinds; type 2 diabetes also called NIDDM (Non Insulin dependent Diabetes mellitus), which as the name suggests happens in adulthood and is associated with poor lifestyle and obesity and type 1 diabetes also called juvenile diabetes or IDDM (Insulin dependent diabetes mellitus) which happens in childhood. With type 1 diabetes, the body’s immune system attacks part of its own pancreas and destroy the cells that produce insulin.. This attack is known as "autoimmune" disease. The pancreas produces very little or no insulin at all in people with type 1 diabetes, thus, all patients will eventually require insulin as first line treatment. For a type 1 diabetic, a meal plan based on the individual’s usual food intake should be determined and insulin therapy integrated into the usual eating and exercise patterns. Individuals on insulin therapy need to eat at consistent times synchronized with the time-actions of insulin, monitor blood glucose levels, and adjust insulin doses for the amount of food usually eaten or required.
Now a new type of diabetes, called LADA (Latent Auto-immune Diabetes in adults) or Type 1.5 diabetes has been recognized which actually falls in between type-1 and type-2 diabetes. LADA, also called MODY (maturity onset diabetes of the young), is a form of childhood diabetes that occurs in adults over 30 years of age. In this type of diabetes, the body destroys its own insulin producing beta cells of the pancreas.
Nearly 80% of people with LADA are initially misdiagnosed as having type-2 diabetes. People with LADA are usually non-obese, lean and even underweight while some may be overweight or mildly obese.
This condition can be managed well with right diet, medication and exercise.
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