I created this without realizing a post on this topic had already been created. If you want to add to the discussion, please do so in Proposal to Drop Type 1 and Type 2 Classification.
This post is mostly just a link to a rather brief and jargony article that stumbled into my path.
A New Proposed Classification of Diabetes: No More Type 1 or Type 2 Diabetes on the website www.diabetesincontrol.com/.
What I found most interesting is how unaware I appear to be of the many different mechanisms which may hide behind a diagnosis of “diabetes mellitus”. Toto, it looks like we left Kansas behind us quite a few years ago.
The basis of the new classification system is treatment of patients as individuals though currently most prescribers will initiate treatment based on a diagnosis instead of the person. Schwartz believes that diabetes is rooted to β-cell and because of this, classification of diabetes types should be based on causes of that damage so physicians will know how to go about treatment. This “β-cell centric” criterion recognizes that β-cell damage can be caused by inflammation, immune actions, gut biome, high fatty acids, high glucose levels, genetics and other causes; categorization founded on these sources can help cultivate an improved treatment strategy, as opposed to simply knocking down an individual’s glucose level.
I don’t really think this “new classification” is ever going to amount to anything other than possibly some discussions in the medical research. After all, my personal feeling is that one heck of a lot of the currently practicing MDs haven’t really gotten around to working well with the T1 & T2 classifications. If you tried to explain to them that there may be “a total of 11 interconnecting pathways that contribute to hyperglycemia”, I expect many will just “Harrumph!” you and walk away.