| AID | Autoimmune-Mediated Diabetes | Autoimmune beta-cell destruction (Type 1 / LADA / Checkpoint-Induced). Insulin replacement, NOT insulin sensitization. Double Diabetes (IR overlay) is a MODIFIER, not a subtype. | AID-T1 Classic Type 1 AID-LADA Type 1.5 AID-CPI Checkpoint-Induced AID-P Probable, workup pending + AID-D modifier when IR overlay confirmed |
| HIH | Hyperinsulinemic-Hyperglycemic | Elevated fasting insulin and glucose, high TG, low HDL, elevated BMI. | HIH-C Classic HIH-V Visceral/TOFI HIH-P Prandial HIH-A Alcohol |
| LMHR | Lean Mass Hyper-Responder | Lean BMI, markedly elevated LDL-C, very high HDL, very low TG. Normal insulin/glucose. | LMHR-K Classic LMHR-P Partial LMHR-A Athletic LMHR-V Lean Metabolic |
| CDR | Carbohydrate-Driven Resistance | Moderately elevated insulin and TG, borderline glucose. Early IR, beta cell intact. | CDR-1 TG-Dominant CDR-2 Insulin-Dominant CDR-3 Mixed/Cortisol Overlay CDR-4 Post-Metabolic Stress |
| MB-IR | Metabolic Burnout IR | Advanced IR, low/normal insulin, elevated glucose and HbA1c (>7.5%). Beta-cell exhaustion. | MB-IR-E Exhausted MB-IR-C Complicated MB-IR-T Treatment-dependent MB-IR-R Rebound |
| PIM | Post-Inflammatory/Hormonal | Elevated hsCRP, hormonal disruption, near-normal glucose. Visceral redistribution, fatigue. | PIM-I Inflammatory PIM-H Hormonal PIM-T Thyroid PIM-M Maintenance |