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In this episode of The Diabetes Podcast, Richie and Amber dig into Diabetes 1.5, also called LADA (latent autoimmune diabetes in adults). If you were told you have type 2 but meds aren’t working, this is for you. We explain why LADA looks like type 2 at first, why it’s often missed, and how to get the right tests and treatment fast.

What we cover:

• What Diabetes 1.5 (LADA) is: an autoimmune diabetes that starts in adults and moves slower than classic type 1.
• Why it’s misdiagnosed: normal BMI, younger age, and “type 2” meds that don’t work.
• Red flags to watch: rising A1C, thirst, fatigue, frequent peeing, weight loss, normal BMI, autoimmune family history.
• The tests to ask for: GAD65 antibodies and a C‑peptide test to check insulin production.
• Why early insulin matters: protects beta cells, lowers A1C sooner, and helps prevent DKA.
• Tools that help: CGMs (Dexcom, Libre) and automated insulin delivery systems, including tubeless options.
• Insurance basics: some pumps are pharmacy benefit, others are DME and may require a C‑peptide level.
• What to do if your plan isn’t working: after 3–6 months of real effort, ask for LADA testing and an endocrinology referral.
• Mindset and support: drop the shame, build your care team, and find your people.

Key takeaway: About 10% of adults labeled “type 2” actually have Diabetes 1.5 (LADA). If lifestyle and meds aren’t moving the needle, ask for GAD and C‑peptide tests. Early, correct care can protect your pancreas and your peace of mind.

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