I enjoy an aspartame-flavored Fresca now and then
LADA is latent autoimmune diabetes in adults.
This new study is out of Sweden. The potential disease-inducing soft drink dose was 400 ml or 13.5 fl oz per day. In the U.S., a typical soda can is 10 fl oz or 355 ml. Surprisingly, artificially-sweetened soft drinks were just as guilty as regular beverages.
“The study included 2,874 Swedish adults, of whom 1,136 had type 2 diabetes, 357 had LADA, and 1,137 were healthy controls.
The team analyzed the self-reported dietary data of each adult, looking specifically at the number of soft drinks consumed up to 1 year before a diabetes diagnosis. Participants’ insulin resistance levels, beta cell function, and autoimmune response were also measured.
The researchers found that adults who reported drinking at least two 200-milliliter servings of soft drinks a day – whether they contained sugar or artificial sweetener – were twice as likely to develop LADA and 2.4 times more likely to develop type 2 diabetes, compared with those who consumed fewer than two soft drinks daily.
What is more, adults who consumed five 200-milliliter servings of soft drinks daily were found to be at 3.5 times greater risk of LADA and 10.5 times greater risk of type 2 diabetes, regardless of whether the drinks were sugary or artificially sweetened.”
Source: Diabetes risk doubles with more than two soft drinks daily – Medical News Today
Dietitian Kelly Schmidt has a blog interview with Intrepid Pioneer, who has LADA—Latent Autoimmune Diabetes of Adulthood. LADA is much closer to type 1 than type 2 diabetes, so he’s on insulin. He was inspired initially by a “Whole 30 Challenge.” He makes room for cheese and home-brewed beer; so not pure paleo. Samples:
I was diagnosed May 2011 during my routine annual physical. At that time my blood sugars were up around 360 and my AC1’s ran around 12.3. At first I was treated as if I was a Type 2 with Metformin. The medicine only helped to control my blood sugars down to around 250 or so. At that time my endocrinologist informed me that I probably have LADA or Latent Autoimmune Diabetes, which basically has been coined type 1.5 Meaning I developed adult on-set Type 1. My father has had Type 1 all his life and was diagnosed as a child.
Since eating the Paleo lifestyle, and I hate it when one calls it a diet because then it feels temporary, I’ve pretty much stop taking my fast acting mealtime insulin. Meaning I only inject fast acting when I know I’m having Pizza for dinner as a treat, or for a thanksgiving meal, etc. My long acting insulin has reduced by over 10 units since starting this diet. All of that said, Paleo is great and it all tastes so good because it’s real food, but I have found that I also need to exercise, eating Paleo combined with exercise has yielded dynamic results. My endocrinologist was blown away by all that I had done, reduced my insulin injections and basically had my A1C’s in check — my last appointment I was 7.3. Still a bit more to go but the last time I was pushing 9 just six months before.
Read the whole thing (it’s brief).
- “Who can tell us about LADA?”
This is the first ever LADA Awareness Week, organized by Diabetes Hands Foundation and dLife. LADA stands for Latent Autoimmune Diabetes in Adults. I think of it as type 1 diabetes that starts in adulthood, although there are some differences from typical juvenile-onset type 1 diabetes.
Seven-and-a-half to 10% of apparent type 2 adult diabetics have LADA. It’s caused by the body attacking its own pancreas beta cells and thereby impairing insulin production; in other words, it’s an autoimmune thing.
Here are some generalities (with exceptions, of course) about LADA, compared to typical type 2 diabetes:
- lower body mass index, often under 25
- age at onset under 50
- poorer response to dietary management
- poorer response to oral diabetic medications
- acute symptoms at time of diagnosis (e.g., weight loss, thirst, frequent urination, ketoacidosis, malaise, etc.)
- higher risk of developing diabetic ketoacidosis
- much more likely to need insulin
How Is LADA Diagnosed?
First of all, the doctor has to consider the possibility, based on the clinical factors above. The autoimmune nature of the disease is reflected in islet-cell antiobodies (ICA) and antibodies to glutamic acid decarboxylase (anti-GAD). These are testable in the blood. One of the two may be enough. If the disease is far enough along, blood levels of C-peptide will be low. C-peptide reflects the body’s production of insulin.
For more information on LADA, talk to your doctor or see this page at dLife.
Steve Parker, M.D.