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This case study, presented by Diabetes & Primary Care, takes you through the necessary considerations in managing a thin individual with type 2 diabetes and deteriorating glycaemic control.

The scenario is not unusual and is one that, as a primary healthcare worker, you could easily be confronted with. By actively engaging with this case history, you will feel more confident and empowered to manage effectively such a problem in the future.

  1. Carnethon MR, De Chavez PJ, Biggs ML et al (2012) Association of weight status with mortality in adults with incident diabetes. JAMA 308: 581–90
  1. Naik RG, Palmer JP (2003) Latent Autoimmune Disease in Adults (LADA). Rev Endocr Metab Disord 4: 233–41
  1. Stenstrom G, Gottsater A, Bakhtadze E et al (2005) Latent Autoimmune Disease in Adults. Definition, prevalence, beta-cell function and treatment. Diabetes 54(Suppl 2): S68–72
  1. Littorin B, Sundkvist G, Hagopian W et al (1999) Islet cell and glutamic acid decarboxylase antibodies present at diagnosis of diabetes predict the need for insulin treatment: a cohort study of young adults whose disease was initially labelled as type 2 diabetes or unclassifiable diabetes. Diabetes Care 22: 409–12
  1. Borg H, Gottsater A, Fernlund P, Sundkvist G (2002) A 12-year prospective study of the relationship between islet autoantibodies and beta-cell function at and after the diagnosis in patients with adult-onset diabetes. Diabetes 51: 1754–62
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