Abstract

LADA is a diagnosis of autoimmune hyperglycaemia in adults requiring very low insulin doses. LADA presents in between a spectrum between T1DM and T2DM and hence poses a diagnostic difficulty. We present two cases of siblings diagnosed as T1DM on insulin therapy Case 1 has very low insulin requirement for over 24 months with C-peptide in the normal after 2yrs of onset of the disease. And the 2nd case having a similar presentation being euglycemic for 6 months without any insulin for the duration. LADA may be defined as an entity occurring in adults however a similar presentation can occur in children and should be kept in mind while evaluating and treating such children, especially ones with prolonged need for low insulin dose.