Jaiwant Rangi, MD, FACEEndocrinologist | Founder, Lower The Dose® | Speaker

Decoding Diabetes: The Shift Toward Precision Classification

10 Jul 2026 · 1 min

Watch on YouTube

0:46

Dr. Jaiwant Rangi explains a new five-subtype classification of diabetes that's not yet standard practice but could improve outcomes when treatments match the specific type. The first subtype, Severe Autoimmune Insulin-Deficient Diabetes, is an adult-onset autoimmune form where the immune system attacks insulin-producing cells.

Chapters

So that's why it's not popular and used as much in the practices. But I can see this coming eventually in everyday practice. So in our practice, we use this classification because when we match treatment to the subtype, the patients see faster results and better outcomes. Now, having said that, let's try to understand what are the 5 different subtypes. This is a little complex, so I'm going to try to make it as simple as possible. The first type is severe autoimmune insulin-deficient diabetes. Um, it's called S-A-I-D. This is autoimmune attack subtype, similar to type 1 diabetes, but it occurs in adults. Your immune system attacks the insulin-producing cells in your pancreas.