J Tradit Chin Med. 2013 Dec;33(6):766-9. doi: 10.1016/s0254-6272(14)60010-8.
Latent autoimmune diabetes in adults (LADA) is regarded as one of the Insulin-dependent diabetes mellitus that progress slowly. It gradually became understood since 1970s. The onset usually appears in adulthood, the islet autoantibodies are positive and the function of beta cell is declined rapidly.The treatment is insulin injection.
The case reported followed is a 37-year-old male patient who was newly diagnosed with type 2 diabetes. He abandoned oral hypoglycemic agents since they caused stomach indisposed. Before visiting, his islet autoantibodies were detected positive and he had never injected insulin before. We treated him with traditional Chinese herbals under the guidance of Traditional Chinese Medicine and differentiation, and achieved fine efficacy.
Because the initial presentation of LADA is similar to Type 2 Diabetes Mellitus and examination is not in common use, misdiagnosis is not rare. Once LADA is diagnosed, the therapy must be adjusted. This case report indicated that Traditional Chinese Medicine might be an alternative treatment for LADA.
成人隐匿性自身免疫性糖尿病（LADA）被认为是一种进展缓慢的胰岛素依赖型糖尿病。自 20 世纪 70 年代以来，人们逐渐对其有所了解。其发病通常发生在成年期，胰岛自身抗体阳性，β细胞功能迅速下降。治疗方法是胰岛素注射。
本例报告的是一位 37 岁的男性患者，他被新诊断为 2 型糖尿病。由于口服降糖药引起胃部不适，他已停止服用。就诊前，他的胰岛自身抗体检测阳性，且从未注射过胰岛素。我们在中医辨证指导下采用中药治疗，取得了良好的疗效。
由于 LADA 的初始表现类似于 2 型糖尿病，且检查不常用，因此误诊并不少见。一旦确诊为 LADA，就必须调整治疗方案。本病例报告表明，中药可能是 LADA 的一种替代治疗方法。
