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It’s no secret that diabetes is a major health concern in today’s world. But did you know that it’s possible to have diabetes without high blood sugar levels? That’s right - you can still have diabetes even if your blood sugar is in the normal range. So, what does this mean for your health and how can you manage it effectively? First, let’s break down what exactly we mean by “diabetes without high blood sugar.” This condition is known as latent autoimmune diabetes in adults (LADA) or type 1.5 diabetes. It’s a form of diabetes that shares characteristics of both type 1 and type 2 diabetes. Like type 1 diabetes, LADA is caused by an autoimmune response that attacks and damages insulin-producing cells in the pancreas. However, unlike type 1 diabetes, LADA develops slowly over time, like type 2 diabetes. So, if you have LADA, you may not experience the classic symptoms of high blood sugar, like excessive thirst, frequent urination, and fatigue. Instead, you may have mild symptoms, or none at all. This can make it difficult to diagnose LADA, as many doctors may mistake it for type 2 diabetes based on the absence of high blood sugar levels. But just because your blood sugar levels are normal doesn’t mean you don’t need to manage your diabetes. In fact, LADA can be just as serious as other forms of diabetes if left untreated. Over time, the autoimmune response in LADA can destroy enough insulin-producing cells to lead to high blood sugar levels and the symptoms associated with type 1 and type 2 diabetes. This can increase your risk of long-term complications, like nerve damage, blindness, and kidney disease. To effectively manage LADA, it’s important to work closely with your healthcare team. This may include an endocrinologist, who specializes in treating diabetes, as well as a registered dietitian and a certified diabetes educator. Together, you can develop a comprehensive treatment plan that includes diet, exercise, medication, and regular blood sugar monitoring. One key difference in managing LADA compared to type 2 diabetes is the need for insulin therapy. While many people with type 2 diabetes can manage their blood sugar levels with oral medications, people with LADA may need insulin injections to supplement their natural insulin production. This can be a significant adjustment, but with proper guidance and support from your healthcare team, you can learn to manage your insulin therapy effectively and safely. In addition to insulin therapy, lifestyle changes are also important for managing LADA. This may include adopting a healthy diet that’s rich in whole foods, fiber, and lean protein, as well as incorporating regular exercise into your routine. These lifestyle changes can not only help manage blood sugar levels but also improve overall health and reduce the risk of long-term complications. So, if you have been diagnosed with LADA or suspect that you may have this form of diabetes, don’t ignore it just because your blood sugar levels are normal. Work with your healthcare team to develop a comprehensive treatment plan that addresses all of your health needs. By taking control of your diabetes, you can live a healthy, active life and reduce your risk of long-term complications.

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