Latent Autoimmune Diabetes of Adults Due to Positive Zinc Transporter 8 Antibody

This case series reports 3 patients who were diagnosed with type 2 diabetes mellitus (T2DM), treated with oral antidiabetic medications, referred to our endocrinology clinic due to poor glycemic control, and were diagnosed with latent autoimmune diabetes of adults due to the isolated presence of ZnT...

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Main Authors: Jacob Maniattu, Mc Anto Antony, Siddharth Patel, Alvin Maliakal
Format: Article
Language:English
Published: American College of Physicians 2025-06-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.1092
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author Jacob Maniattu
Mc Anto Antony
Siddharth Patel
Alvin Maliakal
author_facet Jacob Maniattu
Mc Anto Antony
Siddharth Patel
Alvin Maliakal
author_sort Jacob Maniattu
collection DOAJ
description This case series reports 3 patients who were diagnosed with type 2 diabetes mellitus (T2DM), treated with oral antidiabetic medications, referred to our endocrinology clinic due to poor glycemic control, and were diagnosed with latent autoimmune diabetes of adults due to the isolated presence of ZnT8 antibody. Our cases highlight a few important learning points, such as maintaining a high degree of suspicion for the development of autoimmunity in a patient with T2DM with progressive or rapid worsening in glycemic control and the need to include the ZnT8 antibody in the panel of other diabetes antibodies during the work-up for autoimmune DM.
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publishDate 2025-06-01
publisher American College of Physicians
record_format Article
series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-f8a1662383fa44de8a32d2838247a0e42025-08-20T02:32:22ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-06-014610.7326/aimcc.2024.1092Latent Autoimmune Diabetes of Adults Due to Positive Zinc Transporter 8 AntibodyJacob Maniattu0Mc Anto Antony1Siddharth Patel2Alvin Maliakal31Eastern Virginia Medical School, Norfolk, Virginia2Medical University of South Carolina/AnMed Campus, Anderson, South Carolina3Decatur Morgan Hospital, Decatur, Alabama3Decatur Morgan Hospital, Decatur, AlabamaThis case series reports 3 patients who were diagnosed with type 2 diabetes mellitus (T2DM), treated with oral antidiabetic medications, referred to our endocrinology clinic due to poor glycemic control, and were diagnosed with latent autoimmune diabetes of adults due to the isolated presence of ZnT8 antibody. Our cases highlight a few important learning points, such as maintaining a high degree of suspicion for the development of autoimmunity in a patient with T2DM with progressive or rapid worsening in glycemic control and the need to include the ZnT8 antibody in the panel of other diabetes antibodies during the work-up for autoimmune DM.https://www.acpjournals.org/doi/10.7326/aimcc.2024.1092
spellingShingle Jacob Maniattu
Mc Anto Antony
Siddharth Patel
Alvin Maliakal
Latent Autoimmune Diabetes of Adults Due to Positive Zinc Transporter 8 Antibody
Annals of Internal Medicine: Clinical Cases
title Latent Autoimmune Diabetes of Adults Due to Positive Zinc Transporter 8 Antibody
title_full Latent Autoimmune Diabetes of Adults Due to Positive Zinc Transporter 8 Antibody
title_fullStr Latent Autoimmune Diabetes of Adults Due to Positive Zinc Transporter 8 Antibody
title_full_unstemmed Latent Autoimmune Diabetes of Adults Due to Positive Zinc Transporter 8 Antibody
title_short Latent Autoimmune Diabetes of Adults Due to Positive Zinc Transporter 8 Antibody
title_sort latent autoimmune diabetes of adults due to positive zinc transporter 8 antibody
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.1092
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AT alvinmaliakal latentautoimmunediabetesofadultsduetopositivezinctransporter8antibody