Publication Name	World Journal of Diabetes
Manuscript ID	115465
Country	China

Category	Endocrinology & Metabolism
Manuscript Type	Observational Study
Article Title	Prevalence and clinical characteristics of diabetic retinopathy in patients newly diagnosed with ketosis-onset diabetes: A real-world study
Manuscript Source	Unsolicited Manuscript
All Author List	Man-Rong Xu, Meng-Han Li, Jun-Wei Wang, Ya-Wen Zhang, Jun-Xi Lu, Jiang-Feng Ke and Lian-Xi Li
Funding Agency and Grant Number	Funding Agency Grant Number National Natural Science Foundation of China No. 81770813 and No. 82070866 Joint Funds for the Innovation of Science and Technology, Fujian Province No. 2023Y9453 Shanxi Research Program of Application Foundation No. 202403021212199 China Postdoctoral Science Foundation No. 2024M751910
Corresponding Author	Lian-Xi Li, MD, PhD, Department of Endocrinology and Metabolism, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Clinical Center for Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Key Clinical Center for Metabolic Disease, No. 600 Yishan Road, Shanghai 200233, China. lilx@sjtu.edu.cn
Key Words	Diabetic classification; Ketosis-onset diabetes; Diabetic retinopathy; Type 1 diabetes; Type 2 diabetes
Core Tip	This study demonstrates that the clinical features and risk profile of diabetic retinopathy in ketosis-onset diabetes resemble those of non-ketotic type 2 diabetes rather than type 1 diabetes. The similarity in diabetic retinopathy patterns supports the classification of ketosis-onset diabetes as a subtype of type 2 diabetes. Nonetheless, ketosis-onset diabetes presents with distinct clinical characteristics that should be carefully considered in clinical decision-making and individualized management.
Citation	Xu MR, Li MH, Wang JW, Zhang YW, Lu JX, Ke JF, Li LX. Prevalence and clinical characteristics of diabetic retinopathy in patients newly diagnosed with ketosis-onset diabetes: A real-world study. World J Diabetes 2026; In press

Received	2025-10-17 11:04
Peer-Review Started	2025-10-20 00:30
First Decision by Editorial Office Director	2025-11-10 06:25
Return for Revision	2025-11-10 06:25
Revised	2025-11-23 03:22
Publication Fee Transferred	2025-11-25 13:30
Second Decision by Editor	2025-12-18 02:48
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-06 08:57
Articles in Press	2026-01-06 08:57
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9358 (online)
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