Publication Name	World Journal of Diabetes
Manuscript ID	120703
DOI	10.4239/wjd.120703
Country	United Kingdom

Category	Endocrinology & Metabolism
Manuscript Type	Editorial
Article Title	Low visceral adiposity identifies a metabolically fragile dialysis phenotype with greater glycemic variability
Manuscript Source	Invited Manuscript
All Author List	Radhika Vijayaraghavan, Cornelius J Fernandez, Abul Bashar Mohammad Kamrul-Hasan and Joseph M Pappachan
Funding Agency and Grant Number
Corresponding Author	Joseph M Pappachan, FRCP, MD, MRCP, Professor, Senior Researcher, Faculty of Science, Manchester Metropolitan University, All Saints Building, Oxford Road, Manchester M15 6BH, Greater Manchester, United Kingdom. drpappachan@yahoo.co.in
Key Words	Glycemic variability; Visceral fat adiposity; End-stage kidney disease; Hemodialysis; Continuous glucose monitoring; Time in range
Core Tip	These editorial aims to emphasize emerging evidence regarding predictors of glycemic variability in patients with type 2 diabetes and end-stage kidney disease undergoing hemodialysis. We explore how the integration of visceral adiposity assessment via bioelectrical impedance analysis with glycemic variability data obtained from continuous glucose monitoring can aid in predicting metabolic instability and associated adverse outcomes. Furthermore, we examine how this correlation may function as a straightforward, practical, and noninvasive tool for risk stratification, metabolic phenotyping, and the development of personalized therapeutic strategies. These editorial addresses a significant gap in the current risk models and paves the way for future targeted interventional research.
Citation	Vijayaraghavan R, Fernandez CJ, Kamrul-Hasan ABM, Pappachan JM. Low visceral adiposity identifies a metabolically fragile dialysis phenotype with greater glycemic variability. World J Diabetes 2026; In press DOI: https://doi.org/10.4239/wjd.120703
PDF	120703-in-press.pdf

Received	2026-03-09 01:04
Peer-Review Started	2026-03-13 09:05
First Decision by Editorial Office Director	2026-06-04 11:30
Return for Revision	2026-06-04 11:30
Revised	2026-06-13 19:15
Publication Fee Transferred
Second Decision by Editor	2026-06-26 02:17
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-26 02:57
Articles in Press	2026-06-26 02:57
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9358 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© Author(s) (or their employer(s)) 2026. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
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