{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:02:41Z","timestamp":1785542561696,"version":"3.56.0"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Diabetologia"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1007\/s00125-025-06606-0","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T09:58:17Z","timestamp":1763805497000},"page":"251-252","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["From malnutrition-related diabetes mellitus to \u2018type 5 diabetes\u2019: phenotypic variation, not reclassification. Reply to Gupta L, Misra A [letter]"],"prefix":"10.1007","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7385-0415","authenticated-orcid":false,"given":"Elisabeth R.","family":"Trimble","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1793-8949","authenticated-orcid":false,"given":"David I. W.","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shitaye A.","family":"Balcha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,22]]},"reference":[{"key":"6606_CR1","doi-asserted-by":"publisher","unstructured":"Gupta L, Misra A (2025)\u00a0From malnutrition\u2011related diabetes mellitus to \u2018type 5 diabetes\u2019: phenotypic variation, not reclassification. Diabetologia. https:\/\/doi.org\/10.1007\/s00125-025-06607-z","DOI":"10.1007\/s00125-025-06607-z"},{"key":"6606_CR2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-025-6553-w","author":"ER Trimble","year":"2025","unstructured":"Trimble ER, Phillips DIW, Balcha SA (2025) Phenotype of insulin-dependent diabetes in chronic undernutrition: beta cell stress and immune dysfunction \u2013 a rural sub-Saharan perspective on type 5 diabetes. Diabetologia. https:\/\/doi.org\/10.1007\/s00125-025-6553-w","journal-title":"Diabetologia"},{"issue":"5","key":"6606_CR3","doi-asserted-by":"publisher","first-page":"e0003172","DOI":"10.1371\/journal.pgph.0003172","volume":"4","author":"SM Behera","year":"2024","unstructured":"Behera SM, Behera P, Mohanty SK et al (2024) Socioeconomic gradient of lean diabetes in India: evidence from National Family Health Survey, 2019\u20132021. PLOS Glob Public Health 4(5):e0003172. https:\/\/doi.org\/10.1371\/journal.pgph.0003172","journal-title":"PLOS Glob Public Health"},{"key":"6606_CR4","doi-asserted-by":"publisher","first-page":"1842","DOI":"10.1007\/s00125-009-1433-5","volume":"52","author":"S Alemu","year":"2009","unstructured":"Alemu S, Dessie A, Seid E et al (2009) Insulin-requiring diabetes in rural Ethiopia: should we reopen the case for malnutrition-related diabetes? Diabetologia 52:1842\u20131845. https:\/\/doi.org\/10.1007\/s00125-009-1433-5","journal-title":"Diabetologia"},{"key":"6606_CR5","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1111\/j.1399-0039.1989.tb01744.x","volume":"34","author":"J Abdulkadir","year":"1989","unstructured":"Abdulkadir J, Worku Y, Schreuder GMT, D\u2019Amaro J, de Vries RRP, Ottenhoff THM (1989) HLA-DR and -DQ antigens in malnutrition-related diabetes mellitus in Ethiopians: a clue to its etiology? Tissue Antigens 34:284\u2013289","journal-title":"Tissue Antigens"},{"issue":"Suppl_1","key":"6606_CR6","doi-asserted-by":"publisher","first-page":"s5","DOI":"10.2337\/diacare.26.2007.S5","volume":"25","author":"Expert Committee on the Diagnosis and Classification of Diabetes Mellitus","year":"2002","unstructured":"Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (2002) Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care 25(Suppl_1):s5\u2013s20. https:\/\/doi.org\/10.2337\/diacare.26.2007.S5","journal-title":"Diabetes Care"},{"issue":"10","key":"6606_CR7","doi-asserted-by":"publisher","first-page":"e0258954","DOI":"10.1371\/journal.pone.0258954","volume":"16","author":"T Gebremedhin","year":"2021","unstructured":"Gebremedhin T, Aschalew AY, Tsehay CT, Dellie E, Atnafu A (2021) Micronutrient intake status and associated factors among children aged 6\u201323 months in the emerging regions of Ethiopia: a multilevel analysis of the 2016 Ethiopia demographic and health survey. PLoS ONE 16(10):e0258954. https:\/\/doi.org\/10.1371\/journal.pone.0258954","journal-title":"PLoS ONE"},{"key":"6606_CR8","doi-asserted-by":"publisher","unstructured":"Hirvonen K (2016) Rural-urban differences in children\u2019s dietary diversity in Ethiopia: a Poisson decompensation analysis. Econ Lett 147:12\u201315. https:\/\/doi.org\/10.1016\/j.econlet.2016.08.003","DOI":"10.1016\/j.econlet.2016.08.003"}],"container-title":["Diabetologia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00125-025-06606-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00125-025-06606-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00125-025-06606-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T09:14:28Z","timestamp":1765185268000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00125-025-06606-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,22]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["6606"],"URL":"https:\/\/doi.org\/10.1007\/s00125-025-06606-0","relation":{},"ISSN":["0012-186X","1432-0428"],"issn-type":[{"value":"0012-186X","type":"print"},{"value":"1432-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,22]]},"assertion":[{"value":"20 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare that there are no relationships or activities that might bias, or be perceived to bias, their work.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Authors\u2019 relationships and activities"}},{"value":"ERT was responsible for drafting the manuscript and DIWP and SAB reviewed the manuscript critically. All authors approved the final version to be published.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Contribution statement"}}]}}