Diabetes Unit and Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Program in Medical & Population Genetics, Broad Institute, Boston, MA, USA.
Diabetologia. 2022 Nov;65(11):1758-1769. doi: 10.1007/s00125-022-05769-4. Epub 2022 Aug 12.
The historical subclassification of diabetes into predominantly types 1 and 2 is well appreciated to inadequately capture the heterogeneity seen in patient presentations, disease course, response to therapy and disease complications. This review summarises proposed data-driven approaches to further refine diabetes subtypes using clinical phenotypes and/or genetic information. We highlight the benefits as well as the limitations of these subclassification schemas, including practical barriers to their implementation that would need to be overcome before incorporation into clinical practice.
糖尿病的历史分类主要分为 1 型和 2 型,但这种分类方法不能充分反映患者临床表现、疾病过程、治疗反应和疾病并发症的异质性。本综述总结了使用临床表型和/或遗传信息进一步细化糖尿病亚型的基于数据的方法。我们强调了这些分类方案的优势和局限性,包括在纳入临床实践之前需要克服的实际障碍。