{"id":3006,"date":"2018-11-16T12:10:59","date_gmt":"2018-11-16T11:10:59","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/?post_type=raccomandazione-prof&#038;p=3006"},"modified":"2025-10-09T18:35:22","modified_gmt":"2025-10-09T16:35:22","slug":"the-search-for-anti-insular-cell-antibodies-ica-and-anti-insulin-antibodies-iaa-should-not-be-performed-in-the-case-of-suspected-late-onset-autoimmune-diabetes-lada-or-gestational-diabetes-melli","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/the-search-for-anti-insular-cell-antibodies-ica-and-anti-insulin-antibodies-iaa-should-not-be-performed-in-the-case-of-suspected-late-onset-autoimmune-diabetes-lada-or-gestational-diabetes-melli\/","title":{"rendered":"In the case of suspected late-onset autoimmune diabetes (LADA) or gestational diabetes mellitus, the search for anti-insular cell antibodies (ICA) and anti-insulin antibodies (IAA) should not be performed."},"content":{"rendered":"<p>Search instead simultaneously for anti-GAD, anti-IA2 and anti-ZnT8 antibodies. The finding of even one antibody positivity among anti-GAD, anti-IA2 and anti-ZnT8 is a diagnostic criterion of LADA and suggests an autoimmune pathogenesis in gestational diabetes mellitus.<\/p>\n","protected":false},"featured_media":3022,"template":"","meta":{"_edit_lock":["1760027846:2"],"_edit_last":["2"],"_wpml_media_featured":["1"],"_wpml_media_duplicate":["1"],"_yst_prominent_words_version":["1"],"_thumbnail_id":["3022"],"_wpml_word_count":["82"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["124"],"_yoast_wpseo_primary_tipologia":[""],"wpcf-pacchetto":["SIPMeL #3"],"wpcf-bibliografia":["1. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014 Jan;37 Suppl 1:S81-90. doi: 10.2337\/dc14-S081.\r\n2. Buzzetti R, Zampetti S, Maddaloni E. Adult-onset autoimmune diabetes: current knowledge and implications for management. Nat Rev Endocrinol 2017; 13:674-86. doi: 10.1038\/nrendo.2017.99.\r\n3. de Leiva A, Mauricio D, Corcoy R. Diabetes-related autoantibodies and gestational diabetes. Diabetes Care 2007; 30 (Suppl 2):S127-33. doi: 10.2337\/dc07-s204. Erratum in: Diabetes Care 2007; 30:3154. PMID: 17596460.\r\n4. The management of type 1 diabetes in adults. a consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). 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