Diagnosing LADA in Adults with "Brittle Diabetes"

A 52-year-old male presents with “brittle diabetes.” He was diagnosed three years ago with type 2 diabetes (T2DM). His A1C was 10.6% at that time. He was started on metformin and titrated up to 500 mg at breakfast and lunch and 1,000 mg at dinner. The patient is 6’0” and 161 lbs. with a BMI 21.8; BP of 128/82, and pulse of 69. Blood tests show his current A1C as 8.7%, triglycerides as 131 mg/dl, HDL as 53 mg/dl, and LDL as 97 mg/dl. Is T2DM the correct diagnosis for this patient?

Shared Decision Making

With all the things I have to cover during my 20 minute follow-up visits with my patients with diabetes, I sometimes struggle with whether or not to interrupt as they tell me about something that, at first, seems irrelevant, at least to me.

 I do, however, enjoy most of these discussions as I learn about their recent to Hawaii or some fishing trip. I do enjoy living vicariously through the lives of my patients!

Treatment Options for a Young, Newly Diagnosed Patient with a High BMI

Dr. Jack Leahy, endocrinologist and general internist, Dr. Doron Schneider, weigh different initial treatment options presented by leading endocrinologists Silvio Inzucchi, MD, Alan J. Garber, MD and Laurence Kennedy, MD

Listen to the podcast and/or read the transcript.