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VOL. 2, ISSUE 1 (2026)
Emerging perspectives on type 5 diabetes: Pathophysiology and nutrition-based management strategies
Authors
Soma Bhattacharjee, Anmayee Nanda, Pallabi Chatterjee, Dipankar Paul
Abstract
Type 5 diabetes mellitus (T5DM) is an emerging and distinct form of diabetes primarily associated with chronic undernutrition and predominantly observed in low- and middle-income countries. Unlike type 1 and type 2 diabetes, T5DM is characterized by impaired insulin secretion due to reduced pancreatic β-cell mass, preserved insulin sensitivity, and absence of autoimmune destruction. This review explores the current understanding of T5DM, focusing on its epidemiology, risk factors, and underlying pathophysiological mechanisms, including impaired pancreatic development, micronutrient deficiencies, and developmental programming. The paper also highlights key clinical features and the diagnostic challenges that often lead to misclassification and inappropriate management. A major emphasis is placed on nutrition-based management strategies, including macronutrient rehabilitation, micronutrient supplementation, calorie optimization, and the role of functional foods, along with the integration of medical nutrition therapy and pharmacological support. Furthermore, the importance of public health nutrition interventions and emerging research directions, such as epigenetics and personalized nutrition, are discussed. Understanding T5DM is critical for developing targeted, cost-effective strategies to reduce its growing burden and improve metabolic health outcomes in vulnerable populations.
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Pages:30-34
How to cite this article:
Soma Bhattacharjee, Anmayee Nanda, Pallabi Chatterjee, Dipankar Paul "Emerging perspectives on type 5 diabetes: Pathophysiology and nutrition-based management strategies". World Journal of Applied Research, Vol 2, Issue 1, 2026, Pages 30-34
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