Maioli M, Puddu L, Pes G M
Istituto di Clinica Medica e Terapia Medica, Università degli Studi di Sassari, 07100 Sassari, Italia.
Clin Ter. 2006 Jan-Feb;157(1):69-78.
Latent autoimmune diabetes in adults (LADA) is a disorder with onset after age 30, insulin independence for at least 6 months after diagnosis, and the presence of circulating pancreatic islet autoantibodies. The prevalence of LADA varies substantially across ethnic groups and ranges approximately from 1% to 10% among patients with type 2 diabetes. In this review we discuss the nomenclature, diagnostic criteria, immunologic and genetic markers, metabolic alterations and therapy of this form of diabetes.
成人隐匿性自身免疫性糖尿病(LADA)是一种发病于30岁之后、诊断后至少6个月内无需胰岛素治疗且存在循环胰岛自身抗体的疾病。LADA的患病率在不同种族群体中差异很大,在2型糖尿病患者中约为1%至10%。在本综述中,我们讨论了这种糖尿病的命名、诊断标准、免疫和遗传标志物、代谢改变及治疗方法。