Second international consensus report on gaps and opportunities for the clinical translation of precision diabetes medicine.

Deirdre K Tobias, Jordi Merino, Abrar Ahmad, Catherine Aiken, Jamie L Benham, Dhanasekaran Bodhini, Amy L Clark, Kevin Colclough, Rosa Corcoy, Sara J Cromer, Daisy Duan, Jamie L Felton, Ellen C Francis, Pieter Gillard, Véronique Gingras, Romy Gaillard, Eram Haider, Alice Hughes, Jennifer M Ikle, Laura M Jacobsen, Anna R Kahkoska, Jarno L T Kettunen, Raymond J Kreienkamp, Lee-Ling Lim, Jonna M E Männistö, Robert Massey, Niamh-Maire Mclennan, Rachel G Miller, Mario Luca Morieri, Jasper Most, Rochelle N Naylor, Bige Ozkan, Kashyap Amratlal Patel, Scott J Pilla, Katsiaryna Prystupa, Sridharan Raghavan, Mary R Rooney, Martin Schön, Zhila Semnani-Azad, Magdalena Sevilla-Gonzalez, Pernille Svalastoga, Wubet Worku Takele, Claudia Ha-Ting Tam, Anne Cathrine B Thuesen, Mustafa Tosur, Amelia S Wallace, Caroline C Wang, Jessie J Wong, Jennifer M Yamamoto, Katherine Young, Chloé Amouyal, Mette K Andersen, Maxine P Bonham, Mingling Chen, Feifei Cheng, Tinashe Chikowore, Sian C Chivers, Christoffer Clemmensen, Dana Dabelea, Adem Y Dawed, Aaron J Deutsch, Laura T Dickens, Linda A DiMeglio, Monika Dudenhöffer-Pfeifer, Carmella Evans-Molina, María Mercè Fernández-Balsells, Hugo Fitipaldi, Stephanie L Fitzpatrick, Stephen E Gitelman, Mark O Goodarzi, Jessica A Grieger, Marta Guasch-Ferré, Nahal Habibi, Torben Hansen, Chuiguo Huang, Arianna Harris-Kawano, Heba M Ismail, Benjamin Hoag, Randi K Johnson, Angus G Jones, Robert W Koivula, Aaron Leong, Gloria K W Leung, Ingrid M Libman, Kai Liu, S Alice Long, William L Lowe, Robert W Morton, Ayesha A Motala, Suna Onengut-Gumuscu, James S Pankow, Maleesa Pathirana, Sofia Pazmino, Dianna Perez, John R Petrie, Camille E Powe, Alejandra Quinteros, Rashmi Jain, Debashree Ray, Mathias Ried-Larsen, Zeb Saeed, Vanessa Santhakumar, Sarah Kanbour, Sudipa Sarkar, Gabriela S F Monaco, Denise M Scholtens, Elizabeth Selvin, Wayne Huey-Herng Sheu, Cate Speake, Maggie A Stanislawski, Nele Steenackers, Andrea K Steck, Norbert Stefan, Julie Støy, Rachael Taylor, Sok Cin Tye, Gebresilasea Gendisha Ukke, Marzhan Urazbayeva, Bart Van der Schueren, Camille Vatier, John M Wentworth, Wesley Hannah, Sara L White, Gechang Yu, Yingchai Zhang, Shao J Zhou, Jacques Beltrand, Michel Polak, Ingvild Aukrust, Elisa de Franco, Sarah E Flanagan, Kristin A Maloney, Andrew McGovern, Janne Molnes, Mariam Nakabuye, Pål Rasmus Njølstad, Hugo Pomares-Millan, Michele Provenzano, Cécile Saint-Martin, Cuilin Zhang, Yeyi Zhu, Sungyoung Auh, Russell de Souza, Andrea J Fawcett, Chandra Gruber, Eskedar Getie Mekonnen, Emily Mixter, Diana Sherifali, Robert H Eckel, John J Nolan, Louis H Philipson, Rebecca J Brown, Liana K Billings, Kristen Boyle, Tina Costacou, John M Dennis, Jose C Florez, Anna L Gloyn, Maria F Gomez, Peter A Gottlieb, Siri Atma W Greeley, Kurt Griffin, Andrew T Hattersley, Irl B Hirsch, Marie-France Hivert, Korey K Hood, Jami L Josefson, Soo Heon Kwak, Lori M Laffel, Siew S Lim, Ruth J F Loos, Ronald C W Ma, Chantal Mathieu, Nestoras Mathioudakis, James B Meigs, Shivani Misra, Viswanathan Mohan, Rinki Murphy, Richard Oram, Katharine R Owen, Susan E Ozanne, Ewan R Pearson, Wei Perng, Toni I Pollin, Rodica Pop-Busui, Richard E Pratley, Leanne M Redman, Maria J Redondo, Rebecca M Reynolds, Robert K Semple, Jennifer L Sherr, Emily K Sims, Arianne Sweeting, Tiinamaija Tuomi, Miriam S Udler, Kimberly K Vesco, Tina Vilsbøll, Robert Wagner, Stephen S Rich, Paul W Franks

Journal: Nature medicine 2023;29(10):2438-2457

PMID: 37794253

Abstract

Precision medicine is part of the logical evolution of contemporary evidence-based medicine that seeks to reduce errors and optimize outcomes when making medical decisions and health recommendations. Diabetes affects hundreds of millions of people worldwide, many of whom will develop life-threatening complications and die prematurely. Precision medicine can potentially address this enormous problem by accounting for heterogeneity in the etiology, clinical presentation and pathogenesis of common forms of diabetes and risks of complications. This second international consensus report on precision diabetes medicine summarizes the findings from a systematic evidence review across the key pillars of precision medicine (prevention, diagnosis, treatment, prognosis) in four recognized forms of diabetes (monogenic, gestational, type 1, type 2). These reviews address key questions about the translation of precision medicine research into practice. Although not complete, owing to the vast literature on this topic, they revealed opportunities for the immediate or near-term clinical implementation of precision diabetes medicine; furthermore, we expose important gaps in knowledge, focusing on the need to obtain new clinically relevant evidence. Gaps include the need for common standards for clinical readiness, including consideration of cost-effectiveness, health equity, predictive accuracy, liability and accessibility. Key milestones are outlined for the broad clinical implementation of precision diabetes medicine.

© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.

Address: Division of Preventative Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.; Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.; Diabetes Unit, Endocrine Division, Massachusetts General Hospital, Boston, MA, USA.; Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.; Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Malmö, Sweden.; Department of Obstetrics and Gynaecology, The Rosie Hospital, Cambridge, UK.; NIHR Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.; Departments of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.; Department of Molecular Genetics, Madras Diabetes Research Foundation, Chennai, India.; Division of Pediatric Endocrinology, Department of Pediatrics, Saint Louis University School of Medicine, SSM Health Cardinal Glennon Children's Hospital, St. Louis, MO, USA.; Department of Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK.; CIBER-BBN, ISCIII, Madrid, Spain.; Institut d'Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain.; Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain.; Diabetes Unit, Endocrine Division, Massachusetts General Hospital, Boston, MA, USA.; Programs in Metabolism and Medical & Population Genetics, Broad Institute, Cambridge, MA, USA.; Department of Medicine, Harvard Medical School, Boston, MA, USA.; Division of Endocrinology, Diabetes and Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD, USA.; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.; Herman B Wells Center for Pediatric Research, University School of Medicine, Indianapolis, IN, USA.; Center for Diabetes and Metabolic Diseases, Indiana University School of Medicine, Indianapolis, IN, USA.; Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA.; University Hospital Leuven, Leuven, Belgium.; Department of Nutrition, Université de Montréal, Montreal, Quebec, Quebec, Canada.; Research Center, Sainte-Justine University Hospital Center, Montreal, Quebec, Quebec, Canada.; Department of Pediatrics, Erasmus Medical Center, Rotterdam, the Netherlands.; Division of Population Health & Genomics, School of Medicine, University of Dundee, Dundee, UK.; Department of Pediatrics, Stanford School of Medicine, Stanford University, Stanford, CA, USA.; Stanford Diabetes Research Center, Stanford School of Medicine, Stanford University, Stanford, CA, USA.; University of Florida, Gainesville, FL, USA.; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.; Helsinki University Hospital, Abdominal Centre/Endocrinology, Helsinki, Finland.; Folkhalsan Research Center, Helsinki, Finland.; Institute for Molecular Medicine Finland FIMM, University of Helsinki, Helsinki, Finland.; Diabetes Unit, Endocrine Division, Massachusetts General Hospital, Boston, MA, USA.; Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.; Programs in Metabolism and Medical & Population Genetics, Broad Institute, Cambridge, MA, USA.; Department of Pediatrics, Division of Endocrinology, Boston Children's Hospital, Boston, MA, USA.; Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.; Asia Diabetes Foundation, Hong Kong SAR, China.; Department of Medicine & Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China.; Departments of Pediatrics and Clinical Genetics, Kuopio University Hospital, Kuopio, Finland.; Department of Medicine, University of Eastern Finland, Kuopio, Finland.; Centre for Cardiovascular Science, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.; Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.; Metabolic Disease Unit, University Hospital of Padova, Padova, Italy.; Department of Medicine, University of Padova, Padova, Italy.; Department of Orthopedics, Zuyderland Medical Center, Sittard-Geleen, The Netherlands.; Departments of Pediatrics and Medicine, University of Chicago, Chicago, IL, USA.; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins School of Medicine, Baltimore, MD, USA.; Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.; Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.; Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany.; German Center for Diabetes Research (DZD), Neuherberg, Germany.; Section of Academic Primary Care, US Department of Veterans Affairs Eastern Colorado Health Care System, Aurora, CO, USA.; Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany.; German Center for Diabetes Research (DZD), Neuherberg, Germany.; Institute of Diabetes Research and Metabolic Diseases (IDM), Helmholtz Center Munich, Neuherberg, Germany.; Institute of Experimental Endocrinology, Biomedical Research Center, Slovak Academy of Sciences, Bratislava, Slovakia.; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.; Programs in Metabolism and Medical & Population Genetics, Broad Institute, Cambridge, MA, USA.; Department of Medicine, Harvard Medical School, Boston, MA, USA.; Clinical and Translational Epidemiology Unit, Massachusetts General Hospital, Boston, MA, USA.; Mohn Center for Diabetes Precision Medicine, Department of Clinical Science, University of Bergen, Bergen, Norway.; Children and Youth Clinic, Haukeland University Hospital, Bergen, Norway.; Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia.; Department of Medicine & Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China.; Laboratory for Molecular Epidemiology in Diabetes, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China.; Hong Kong Institute of Diabetes and Obesity, The Chinese University of Hong Kong, Hong Kong SAR, China.; Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.; Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.; Division of Pediatric Diabetes and Endocrinology, Texas Children's Hospital, Houston, TX, USA.; Children's Nutrition Research Center, USDA/ARS, Houston, TX, USA.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Stanford University School of Medicine, Stanford, CA, USA.; Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.; Department of Diabetology, APHP, Paris, France.; Sorbonne Université, INSERM, NutriOmic team, Paris, France.; Department of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.; Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, Australia.; Health Management Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.; Department of Medicine, Harvard Medical School, Boston, MA, USA.; MRC/Wits Developmental Pathways for Health Research Unit, Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA.; Sydney Brenner Institute for Molecular Bioscience, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; Department of Women and Children's Health, King's College London, London, UK.; Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.; Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.; Programs in Metabolism and Medical & Population Genetics, Broad Institute, Cambridge, MA, USA.; Department of Medicine, Harvard Medical School, Boston, MA, USA.; Section of Adult and Pediatric Endocrinology, Diabetes and Metabolism, Kovler Diabetes Center, University of Chicago, Chicago, IL, USA.; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.; Herman B Wells Center for Pediatric Research, University School of Medicine, Indianapolis, IN, USA.; Center for Diabetes and Metabolic Diseases, Indiana University School of Medicine, Indianapolis, IN, USA.; Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.; Herman B Wells Center for Pediatric Research, University School of Medicine, Indianapolis, IN, USA.; Center for Diabetes and Metabolic Diseases, Indiana University School of Medicine, Indianapolis, IN, USA.; Richard L. Roudebush VAMC, Indianapolis, IN, USA.; Biomedical Research Institute Girona, IdIBGi, Girona, Spain.; Diabetes, Endocrinology and Nutrition Unit Girona, University Hospital Dr Josep Trueta, Girona, Spain.; Institute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.; University of California at San Francisco, Department of Pediatrics, Diabetes Center, San Francisco, CA, USA.; Division of Endocrinology, Diabetes and Metabolism, Cedars-Sinai Medical Center, Los Angeles, CA, USA.; Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.; Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.; Robinson Research Institute, The University of Adelaide, Adelaide, South Australia, Australia.; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.; Department of Public Health and Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.; Department of Medicine & Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China.; Laboratory for Molecular Epidemiology in Diabetes, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China.; Division of Endocrinology and Diabetes, Department of Pediatrics, Sanford Children's Hospital, Sioux Falls, SD, USA.; University of South Dakota School of Medicine, E Clark St, Vermillion, SD, USA.; Department of Biomedical Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.; Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA.; Department of Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK.; Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK.; Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK.; Diabetes Unit, Endocrine Division, Massachusetts General Hospital, Boston, MA, USA.; Department of Medicine, Harvard Medical School, Boston, MA, USA.; Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.; UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.; Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.; Center for Translational Immunology, Benaroya Research Institute, Seattle, WA, USA.; Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Department of Pathology & Molecular Medicine, McMaster University, Hamilton, Ontario, Canada.; Population Health Research Institute, Hamilton, Ontario, Canada.; Department of Translational Medicine, Medical Science, Novo Nordisk Foundation, Hellerup, Denmark.; Department of Diabetes and Endocrinology, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.; Center for Public Health Genomics, Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.; Department of Chronic Diseases and Metabolism, Clinical and Experimental Endocrinologyó, KU Leuven, Leuven, Belgium.; School of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.; Diabetes Unit, Endocrine Division, Massachusetts General Hospital, Boston, MA, USA.; Programs in Metabolism and Medical & Population Genetics, Broad Institute, Cambridge, MA, USA.; Department of Medicine, Harvard Medical School, Boston, MA, USA.; Department of Obstetrics, Gynecology, and Reproductive Biology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.; Sanford Children's Specialty Clinic, Sioux Falls, SD, USA.; Department of Pediatrics, Sanford School of Medicine, University of South Dakota, Sioux Falls, SD, USA.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Centre for Physical Activity Research, Rigshospitalet, Copenhagen, Denmark.; Institute for Sports and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.; Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Indiana University School of Medicine, Indianapolis, IN, USA.; Division of Preventative Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.; Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.; AMAN Hospital, Doha, Qatar.; Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.; Department of Preventive Medicine, Division of Biostatistics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Institute of Molecular and Genomic Medicine, National Health Research Institutes, Zhunan, Taiwan.; Divsion of Endocrinology and Metabolism, Taichung Veterans General Hospital, Taichung, Taiwan.; Division of Endocrinology and Metabolism, Taipei Veterans General Hospital, Taipei, Taiwan.; Center for Interventional Immunology, Benaroya Research Institute, Seattle, WA, USA.; Department of Biomedical Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.; Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.; German Center for Diabetes Research (DZD), Neuherberg, Germany.; Institute of Diabetes Research and Metabolic Diseases (IDM), Helmholtz Center Munich, Neuherberg, Germany.; University Hospital of Tübingen, Tübingen, Germany.; Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.; University of Newcastle, Newcastle upon Tyne, UK.; Sections on Genetics and Epidemiology, Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA.; Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, Groningen, the Netherlands.; Division of Pediatric Diabetes and Endocrinology, Texas Children's Hospital, Houston, TX, USA.; Gastroenterology, Baylor College of Medicine, Houston, TX, USA.; Department of Chronic Diseases and Metabolism, Clinical and Experimental Endocrinologyó, KU Leuven, Leuven, Belgium.; Department of Endocrinology, University Hospitals Leuven, Leuven, Belgium.; Sorbonne University, Inserm U938, Saint-Antoine Research Centre, Institute of Cardiometabolism and Nutrition, Paris, France.; Department of Endocrinology, Diabetology and Reproductive Endocrinology, Assistance Publique-Hôpitaux de Paris, Saint-Antoine University Hospital, National Reference Center for Rare Diseases of Insulin Secretion and Insulin Sensitivity (PRISIS), Paris, France.; Royal Melbourne Hospital Department of Diabetes and Endocrinology, Parkville, Victoria, Australia.; Walter and Eliza Hall Institute, Parkville, Victoria, Australia.; University of Melbourne Department of Medicine, Parkville, Victoria, Australia.; Deakin University, Melbourne, Victoria, Australia.; Department of Epidemiology, Madras Diabetes Research Foundation, Chennai, India.; Department of Women and Children's Health, King's College London, London, UK.; Department of Diabetes and Endocrinology, Guy's and St Thomas' Hospitals NHS Foundation Trust, London, UK.; Robinson Research Institute, The University of Adelaide, Adelaide, South Australia, Australia.; School of Agriculture, Food and Wine, University of Adelaide, Adelaide, South Australia, Australia.; Institut Cochin, Inserm U 10116, Paris, France.; Pediatric Endocrinology and Diabetes, Hopital Necker Enfants Malades, APHP Centre, Université de Paris, Paris, France.; Mohn Center for Diabetes Precision Medicine, Department of Clinical Science, University of Bergen, Bergen, Norway.; Department of Medical Genetics, Haukeland University Hospital, Bergen, Norway.; Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.; Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Malmö, Sweden.; Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.; Nephrology, Dialysis and Renal Transplant Unit, IRCCS-Azienda Ospedaliero-Universitaria di Bologna, Alma Mater Studiorum University of Bologna, Bologna, Italy.; Department of Medical Genetics, AP-HP Pitié-Salpêtrière Hospital, Sorbonne University, Paris, France.; Global Center for Asian Women's Health, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Department of Obstetrics and Gynecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Kaiser Permanente Northern California Division of Research, Oakland, CA, USA.; Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.; National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA.; Population Health Research Institute, Hamilton, Ontario, Canada.; Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.; Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Department of Clinical and Organizational Development, Chicago, IL, USA.; American Diabetes Association, Arlington, VA, USA.; College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.; Global Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.; Department of Medicine and Kovler Diabetes Center, University of Chicago, Chicago, IL, USA.; Population Health Research Institute, Hamilton, Ontario, Canada.; School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.; Division of Endocrinology, Metabolism, Diabetes, University of Colorado, Aurora, CO, USA.; Department of Clinical Medicine, School of Medicine, Trinity College Dublin, Dublin, Ireland.; Department of Endocrinology, Wexford General Hospital, Wexford, Ireland.; Division of Endocrinology, NorthShore University HealthSystem, Skokie, IL, USA.; Department of Medicine, Prtizker School of Medicine, University of Chicago, Chicago, IL, USA.; Diabetes Unit, Endocrine Division, Massachusetts General Hospital, Boston, MA, USA.; Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.; Programs in Metabolism and Medical & Population Genetics, Broad Institute, Cambridge, MA, USA.; Department of Medicine, Harvard Medical School, Boston, MA, USA.; Department of Pediatrics, Stanford School of Medicine, Stanford University, Stanford, CA, USA.; Stanford Diabetes Research Center, Stanford School of Medicine, Stanford University, Stanford, CA, USA.; Department of Genetics, Stanford School of Medicine, Stanford University, Stanford, CA, USA.; Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Malmö, Sweden.; Faculty of Health, Aarhus University, Aarhus, Denmark.; Departments of Pediatrics and Medicine and Kovler Diabetes Center, University of Chicago, Chicago, IL, USA.; Department of Pediatrics, Sanford School of Medicine, University of South Dakota, Sioux Falls, SD, USA.; Sanford Research, Sioux Falls, SD, USA.; University of Washington School of Medicine, Seattle, WA, USA.; Diabetes Unit, Endocrine Division, Massachusetts General Hospital, Boston, MA, USA.; Department of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, MA, USA.; Department of Medicine, Universite de Sherbrooke, Sherbrooke, Quebec, Canada.; Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.; Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA.; Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.; Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.; Department of Medicine, Harvard Medical School, Boston, MA, USA.; Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.; Broad Institute, Cambridge, MA, USA.; Division of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.; Department of Diabetes & Endocrinology, Imperial College Healthcare NHS Trust, London, UK.; Department of Diabetology, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Chennai, India.; Department of Medicine, Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand.; Auckland Diabetes Centre, Te Whatu Ora Health New Zealand, Auckland, New Zealand.; Medical Bariatric Service, Te Whatu Ora Counties, Health New Zealand, Auckland, New Zealand.; Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK.; Oxford NIHR Biomedical Research Centre, University of Oxford, Oxford, UK.; University of Cambridge, Metabolic Research Laboratories and MRC Metabolic Diseases Unit, Wellcome-MRC Institute of Metabolic Science, Cambridge, UK.; Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.; Department of Epidemiology & Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.; Department of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes, University of Michigan, Ann Arbor, MI, USA.; AdventHealth Translational Research Institute, Orlando, FL, USA.; Pennington Biomedical Research Center, Baton Rouge, LA, USA.; Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.; Division of Pediatric Diabetes and Endocrinology, Texas Children's Hospital, Houston, TX, USA.; Centre for Cardiovascular Science, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.; MRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, UK.; Yale School of Medicine, New Haven, CT, USA.; Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.; Department of Endocrinology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.; Kaiser Permanente Northwest, Kaiser Permanente Center for Health Research, Portland, OR, USA.; Clinial Research, Steno Diabetes Center Copenhagen, Herlev, Denmark.; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.; Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany.; German Center for Diabetes Research (DZD), Neuherberg, Germany.; Department of Endocrinology and Diabetology, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA. [email protected].; Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Malmö, Sweden. [email protected].; Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK. [email protected].; Department of Translational Medicine, Medical Science, Novo Nordisk Foundation, Hellerup, Denmark. [email protected].
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