{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.diabetes","code":"thing-q12206","url":"https://ver.cy/models/thing/q12206/","name":"diabetes","alternateNames":["Donohue syndrome","congenital generalized lipodystrophy type 4","Grinspan's syndrome","diabulimia","Rabson–Mendenhall syndrome","insulin resistance","diabetes mellitus,insulin dependent type with hyperosmolarity","Wolfram-like syndrome","diabetic ketoacidosis","steroid diabetes","Insulin-resistance syndrome type A","Insulin-resistance syndrome type B"],"kind":"thing","status":"published","version":"0.2.0-wave.1","language":"en","classifiers":{"family":"Thing Registry","category":"Information and virtual systems","entryKind":"thing","plane":"INF","domain":["INF.KNW"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"A group of metabolic conditions characterised by high blood glucose due to problems with insulin production or action, mainly type 1, type 2 and gestational diabetes, plus rarer genetic forms; managed with lifestyle, medicines and insulin under clinical care.","purpose":"Let an agent explain diabetes in general terms, prioritise emergencies such as severe hypoglycaemia and diabetic ketoacidosis, and point to clinical care and support, without diagnosis or personal treatment advice.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["High blood glucose","Insulin-related","Long-term management","Emergencies possible"],"structure":{"bundles":[{"id":"emergency","name":"Emergency","description":"Urgent signs.","layers":[{"id":"hypo","name":"Hypoglycaemia","description":"Low glucose.","findings":[{"id":"hypo-finding","name":"Hypoglycaemia","description":"Severe hypoglycaemia.","questions":[{"text":"Is someone with diabetes confused, unconscious or unable to swallow?","kind":"boundary"},{"text":"Which emergency number should be called now?","kind":"action"}]}]},{"id":"dka","name":"Ketoacidosis","description":"Very high glucose.","findings":[{"id":"dka-finding","name":"Ketoacidosis","description":"Diabetic ketoacidosis.","questions":[{"text":"Are there signs such as vomiting, rapid breathing or drowsiness in someone with diabetes?","kind":"boundary"},{"text":"Which urgent service should be contacted?","kind":"action"}]}]}]},{"id":"care","name":"Care","description":"Clinical care.","layers":[{"id":"diagnosis","name":"Diagnosis","description":"Testing.","findings":[{"id":"diagnosis-finding","name":"Diagnosis","description":"Diagnosis.","questions":[{"text":"Is the user asking the agent to diagnose or adjust treatment?","kind":"boundary"},{"text":"How should they contact their clinician or diabetes team?","kind":"action"}]}]},{"id":"education","name":"Education","description":"Structured programmes.","findings":[{"id":"education-finding","name":"Education","description":"Diabetes education.","questions":[{"text":"Which structured education programmes exist here?","kind":"provenance"},{"text":"How can someone join?","kind":"action"}]}]}]},{"id":"living","name":"Living","description":"Daily life.","layers":[{"id":"support","name":"Support","description":"Organisations.","findings":[{"id":"support-finding","name":"Support","description":"Support organisations.","questions":[{"text":"Which diabetes organisations offer support and helplines?","kind":"provenance"},{"text":"Is there support for eating distress related to insulin?","kind":"provenance"}]}]},{"id":"rights","name":"Rights","description":"Work, school, driving.","findings":[{"id":"rights-finding","name":"Rights","description":"Rights and rules.","questions":[{"text":"What rules apply to driving, work or school with diabetes?","kind":"provenance"},{"text":"Which authority must be told?","kind":"provenance"}]}]}]},{"id":"prevention","name":"Prevention","description":"Risk.","layers":[{"id":"screening","name":"Screening","description":"Risk checks.","findings":[{"id":"screening-finding","name":"Screening","description":"Screening.","questions":[{"text":"What screening or risk checks do health services offer?","kind":"provenance"},{"text":"Who is eligible?","kind":"provenance"}]}]},{"id":"language","name":"Language","description":"Stigma.","findings":[{"id":"language-finding","name":"Language","description":"Respectful language.","questions":[{"text":"Does the language avoid blame and stigma?","kind":"boundary"},{"text":"Is it person-first?","kind":"boundary"}]}]}]}]},"agentConduct":{"may":["Give general, sourced information on diabetes types, management and complications.","Help a person log glucose readings and reminders they choose to share."],"mustNot":["Change or recommend insulin or medication doses in place of a clinician.","Promote diets or supplements as cures for diabetes.","Disclose a person's diagnosis to employers, insurers or others without consent.","Stigmatise people with diabetes as responsible for their condition."],"requiresHuman":["Responding to signs of very high or low blood glucose, which may need emergency care."]},"ethics":{"considerations":["Dosing errors can be life-threatening.","Blaming people for diabetes adds stigma and ignores genetic and social causes."],"affectedParties":["People with diabetes","Families and carers","Clinicians"]},"owners":{"steward":"The patient manages it with their care team; health systems hold the records.","roles":[],"masterSystems":["Diabetes registries"]},"relations":[{"target":"Q18553586","type":"parent","note":"registry parent class"},{"target":"Q18556224","type":"parent","note":"registry parent class"},{"target":"glucose metabolism disease","type":"related","note":"category"},{"target":"insulin","type":"related","note":"hormone"},{"target":"diabetes care team","type":"related","note":"care"},{"target":"metabolic disease","type":"related","note":"category"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.diabetes","Wikidata: Q12206 (https://www.wikidata.org/wiki/Q12206)","ICD-11: 5A10-5A14 diabetes mellitus"]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"optional","items":["Type 1, type 2, gestational","HbA1c and glucose tests","Diabetes insipidus is a different condition","Not visible in itself; signs may include thirst, frequent urination and tiredness."]},"capabilities":{"applicability":"required","items":["recognise diabetes emergencies","find reliable information and education","find support organisations","understand screening and risk in general terms"]},"hazards":{"applicability":"required","items":["Missing hypoglycaemia or ketoacidosis","Agents adjusting medication doses","Stigmatising language"]},"interfaces":{"applicability":"required","items":["Clinical guidelines such as ADA and NICE","Driving licence rules for diabetes"]},"context":{"applicability":"required","items":["A common long-term condition needing reliable information and support.","type 1 diabetes","type 2 diabetes","gestational diabetes","monogenic and rare forms","insulin resistance (related)"]}},"sources":[{"title":"Wikidata item Q12206: diabetes","url":"https://www.wikidata.org/wiki/Q12206","note":"identity and sense of the item"},{"title":"Wikipedia: Diabetes","url":"https://en.wikipedia.org/wiki/Diabetes","note":"general description of the item"}],"openQuestions":["Should diabetes types be separate entries?","How should support be localised?","How should alias lists be curated?"],"resources":{"spec":"/models/things/publications/thing-q12206/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q12206/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-11T11:26:49Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-06T19:51:53+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane INF: no invented physical properties."},"score":1.0}}