Table 6.2-1. Differential diagnosis and treatment of LADA and type 2 diabetes mellitus

Differential features

LADA

Type 2 diabetes mellitus

Body mass index

As in general population

Obesity or overweight

Hypertension

No

Yes

Family history of diabetes

No

Yes

History/family history of autoimmune diseases

Yes

No

Anti-GAD or other islet cell antibodies

Yes

No

C-peptide (glucagon test)

Low level

Normal or initially increased

Treatment of choice

Insulin

Initial treatment with oral antidiabetic agents

GAD, glutamic acid decarboxylase; LADA, latent autoimmune diabetes in adults.