“…A fundamental genetic heterogeneity has been found in T2DM ( Mannino et al, 2019 ). Genome Wide Association Studies (GWAS) focused on the genetic heterogeneity have discovered a number of loci, KLF14, KCNQ1, DUSP9, FTO, HNF4A, IGFBP2, CDKN2A/B, TCF7L2, KCNJ11, antioxidant genes, DNAJC3, PGC-1α, ADIPOQ, CDKAL1, POMC, PPARγ2, and SLC30A8 , that could be potential predictors of the disease ( Cho et al, 2019 ; Witka et al, 2019 ). One among the loci, in particular, CDK5 regulatory subunit associated protein 1-like 1, cdkal1 , is intriguing as a locus remote from the insulin gene, and a tRNA modification enzyme.…”