Abstract

Optimism regarding precision medicine has increased in recent years, and type 2 diabetes provides one of its more promising applications.1 The large public health burden of type 2 diabetes is exacerbated by inadequate treatments, which might be better designed or deployed if the complex and heterogeneous nature of type 2 diabetes could be refined into a collection of more homogeneous disease subtypes. Whether it is possible to treat type 2 diseases as a group of distinct qualitative subtypes,2 or whether type 2 diabetes progression and treatment responses are best modeled through continuous variables,3 remains debated—the reality is probably somewhere in between.

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