Latent Autoimmune Diabetes in Adults (LADA), is slowly developing autoimmune type 1 diabetes that presents in adults. People with LADA may not require insulin for months or years. IN this type of diabetes there is a gradual destruction of the beta cells of the pancreas which produces insulin. People with LADA are often diagnosed at first with Type 2 diabetes. Some people refer to LADA as Type 1.5.People with LADA behaving differently and their treatment is also variable. Some may need insulin immediately others may remain controlled with tablets for long duration. People with suspected LADA need to be investigated to establish if they have insulin antibodies or islet cell antibodies.