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Glucose dysregulation phenotypes — time to improve outcomes

Detailed profiles of fluctuations in glucose obtained via continuous glucose monitoring highlight the complexity of glucose regulation and underscore that the definition of type 2 diabetes mellitus as a homogeneous disease is an oversimplistic approximation for a heterogeneous metabolic disorder. Whether better phenotyping would ultimately result in improved interventions and outcomes, however, remains largely unproven.

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Acknowledgements

F.Z. is funded and acknowledges support from an unrestricted educational grant from the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (CLAHRC) East Midlands to the University of Leicester.

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Correspondence to Kamlesh Khunti.

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K.K. has acted as a consultant and speaker for Novartis, Novo Nordisk, Sanofi–Aventis, Eli Lilly and Merck Sharp & Dohme and has received grants in support of investigator and investigator-initiated trials from AstraZeneca, Novartis, Novo Nordisk, Sanofi–Aventis, Eli Lilly, Pfizer, Boehringer Ingelheim and Merck Sharp & Dohme.

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Zaccardi, F., Khunti, K. Glucose dysregulation phenotypes — time to improve outcomes. Nat Rev Endocrinol 14, 632–633 (2018). https://doi.org/10.1038/s41574-018-0092-3

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