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Official Recognition: Type 5 diabetes has been officially recognized by the International Diabetes Federation (IDF) at the 75th World Congress for Diabetes in Bangkok.
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Definition: It affects lean, undernourished teenagers and young adults in low- and middle-income countries (LMICs).
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Cause: Primarily caused by malnutrition-induced reduction in insulin production, unlike Type 2 diabetes which involves insulin resistance.
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Pancreatic Function: Pancreatic beta cells function abnormally, resulting in severely reduced insulin secretion.
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Historical Context: First reported in Jamaica in 1955 as J-type diabetes; WHO classified it as “malnutrition-related diabetes mellitus” in 1985 but removed it in 1999 due to a lack of causal evidence.
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Global Prevalence: Estimated to affect about 25 million people globally, predominantly in the Global South (India, Sri Lanka, Bangladesh, Uganda, Ethiopia, Rwanda, Korea).
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Key Markers:
- Low BMI (<18.5 kg/m²)
- Severely reduced insulin levels
- Substantially lower body fat percentage
- Inadequate dietary intake of protein, fibre, and micronutrients
- No autoimmune or genetic causes
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Malnutrition’s Role: Malnutrition, beginning in the womb, plays a
critical role. Undernourishment during fetal development and early life can lead to Type 5 diabetes. -
Treatment: Specific diagnostic criteria and therapeutic guidelines are still being developed by the Type 5 Diabetes Working Group. Treatment involves a high protein diet and adequate carbs/fats to promote weight gain. Anti-diabetic medicine or insulin is considered on a case-by-case basis.
17.04.25
NMESIS: Naval Strike
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Philippines Balikatan Exercise: The Philippines has confirmed the deployment of the US Navy-Marine Expeditionary Ship Interdiction System (NMESIS) for the upcoming Balikatan military exercises. This is news as it shows increased military cooperation and highlights the strategic importance of anti-ship capabilities in the region.
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NMESIS Overview: NMESIS is a land-based anti-ship missile system developed for the US Marine Corps (USMC). It’s designed to support naval operations through land-to-sea attacks.
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Key Components:
- Naval Strike Missile (NSM): The US Navy’s latest anti-ship missile, capable of engaging targets over 100 nautical miles (185 km) away. It can target both maritime and land targets, uses advanced seeker technology for precision, and can evade radar.
- ROGUE Fires Vehicle: An unmanned variant of the Oshkosh Joint Light Tactical Vehicle (JLTV), functioning as a Remotely Operated Ground Unit for Expeditionary (ROGUE) Fires vehicle. It’s remotely operated, highly mobile, and carries a high payload.
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ROGUE Fires Features: It uses advanced autonomous vehicle tech, is remotely operated, lacks a crew cab, has sensors and cameras, and can be configured for different missions.
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NSM Features: Multi-mission cruise missile. Range over 100 nm (185 km). Advanced seeker for precision. Maneuverability to evade radar, flying close to sea level. 226.79 kg warhead. Programmable fuse.
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Not Autonomous: NMESIS isn’t fully autonomous. A marine is responsible
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