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Publication Name World Journal of Diabetes
Manuscript ID 119203
Country United States
Received
2026-01-21 00:25
Peer-Review Started
2026-01-29 09:15
First Decision by Editorial Office Director
2026-03-04 08:54
Return for Revision
2026-03-04 08:54
Revised
2026-05-22 11:16
Publication Fee Transferred
2026-06-11 01:55
Second Decision by Editor
2026-07-14 02:44
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-07-14 08:14
Articles in Press
2026-07-14 08:14
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-07-28 00:26
Publish the Manuscript Online
2026-08-05 07:53
ISSN 1948-9358 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Endocrinology & Metabolism
Manuscript Type Minireviews
Article Title Severe insulin-deficient diabetes: Updated review of epidemiology, biology, and clinical implications
Manuscript Source Unsolicited Manuscript
All Author List Yara S Beyh, K M Venkat Narayan and Ram Jagannathan
ORCID
Author(s) ORCID Number
Yara S Beyh http://orcid.org/0000-0002-6588-0753
K M Venkat Narayan http://orcid.org/0000-0001-8621-5405
Ram Jagannathan http://orcid.org/0000-0002-3994-3474
Funding Agency and Grant Number
Funding Agency Grant Number
National Heart, Lung, and Blood Institute No. P01HL154996
National Institute of Diabetes and Digestive and Kidney Diseases No. R01-DK139632
Corresponding Author Yara S Beyh, PhD, Post Doctoral Researcher, Postdoc, Postdoctoral Fellow, Emory Global Diabetes Research Center, Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA 30322, United States. ybeyh@emory.edu
Key Words Type 2 diabetes; Severe insulin-deficient diabetes; Insulin deficiency; Insulin resistance; Beta-cell function
Core Tip Severe insulin-deficient diabetes (SIDD) is a reproducible, non-autoimmune subtype of type 2 diabetes defined by profound β-cell dysfunction, marked hyperglycemia, and relatively lower body mass index. This review synthesizes global evidence showing that SIDD carries disproportionate microvascular risk particularly retinopathy and often requires early treatment intensification with frequent insulin use. A key innovation is highlighting population-specific subtype distributions, with insulin-deficient phenotypes more common in South Asians and linked to emerging signals for higher mortality and excess life-years lost. We integrate genetic and multi-omic insights implicating β-cell stress pathways and outline priorities for electronic health record-ready classification and subtype-guided trials.
Publish Date 2026-08-05 07:53
Citation

Beyh YS, Narayan KMV, Jagannathan R. Severe insulin-deficient diabetes: Updated review of epidemiology, biology, and clinical implications. World J Diabetes 2026; 17(8): 119203

URL https://www.wjgnet.com/1948-9358/full/v17/i8/119203.htm
DOI https://doi.org/10.4239/wjd.119203
Full Article (PDF) WJD-17-119203-with-cover.pdf
Manuscript File 119203_Auto_Edited_013513.docx
Answering Reviewers 119203-answering-reviewers.pdf
Audio Core Tip 119203-audio.mp3
Conflict-of-Interest Disclosure Form 119203-conflict-of-interest-statement.pdf
Copyright License Agreement 119203-copyright-assignment.pdf
Peer-review Report 119203-peer-reviews.pdf
Scientific Misconduct Check 119203-scientific-misconduct-check.png
Scientific Editor Work List 119203-scientific-editor-work-list.pdf
CrossCheck Report 119203-crosscheck-report.pdf