Article Text
Statistics from Altmetric.com
Commentary on: Lontchi-Yimagou E, Dasgupta R, Anoop S, Kehlenbrink S, Koppaka S, Goyal A, Venkatesan P, Livingstone R, Ye K, Chapla A, Carey M, Jose A, Rebekah G, Wickramanayake A, Joseph M, Mathias P, Manavalan A, Kurian ME, Inbakumari M, Christina F, Stein D, Thomas N, Hawkins M. An Atypical Form of Diabetes Among Individuals With Low BMI. Diabetes Care. 2022 Jun 2;456,:1428–1437. doi: 10.2337/dc21-1957.
Implications for practice and research
Low body mass index (BMI) diabetes mellitus (DM) represents a prevalent entity in low-income and middle-income countries (LMICs) but still needs to be understood.
Diagnosing low diabetes (LD) correctly will avoid prescribing complex treatment to people particularly vulnerable to hypoglycaemia due to food insecurity.
Context
A very distinctive form of diabetes was described for the first time in Jamaica in 1955. Individuals diagnosed with this variant were characterised by low BMI, absence of ketones and high insulin requirements. WHO introduced ‘malnutrition-related diabetes mellitus’ as a diagnosis in 19851 and …
Footnotes
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.