Type 5 diabetes: fifth pillar or fifth column

Area of Science:

• Endocrinology
• Nutritional Science
• Diabetes Mellitus Research

Background:

• Malnutrition modulated diabetes mellitus (MMDM) is a distinct clinical entity.
• Previous and current terminology for MMDM is reviewed.
• The need for standardized diagnostic criteria is highlighted.

Purpose of the Study:

• To review the historical context and nomenclature of MMDM.
• To analyze the implications of renaming MMDM as type 5 diabetes.
• To present a diagnostic checklist for MMDM.

Main Methods:

• Literature review of MMDM history and terminology.
• Analysis of proposed renaming efforts.
• Presentation of a diagnostic checklist based on Ahuja's criteria.

Main Results:

• Multiple terms have been used for MMDM.
• Renaming MMDM as type 5 diabetes is proposed but may cause confusion.
• A practical diagnostic checklist for MMDM is provided.

Conclusions:

• Further research is essential to define MMDM.
• Renaming MMDM to type 5 diabetes is discouraged due to potential confusion.
• Standardized diagnosis and clear terminology are crucial for MMDM understanding.