Jaiwant Rangi, MD, FACEEndocrinologist | Founder, Lower The Dose® | Speaker

The Misdiagnosed Diabetic: Unmasking the Slow Decline of LADA

10 Sept 2026 · 1 min

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In this segment, Dr. Jaiwant Rangi explains that the patient described does not have type 2 diabetes but rather LADA (latent autoimmune diabetes in adults). He defines LADA as an autoimmune form of diabetes that progresses slowly, unlike classic type 1 diabetes which causes an abrupt loss of beta‑cell function. In LADA, the immune system gradually destroys pancreatic beta cells, leading to a slow decline in insulin production. Consequently, the patient’s problem is not insulin resistance but a quiet, progressive loss of the pancreas’s ability to make insulin, which often leads to misdiagnosis as type 2 diabetes.

She did not have type 2 diabetes. She had something called LADA, or latent autoimmune disease diabetes of adults. It's an autoimmune condition, but it is a slow autoimmune condition, so it is not like type 1 diabetes where you have sudden drop in the beta cell function where you don't have any insulin production. Here you have very slow decline in beta cell function because of autoimmunity. So her body was not resisting insulin, it was just that it was quietly losing its ability to make That's right.