“…HFpEF represents a broad cohort of patients with a range of comorbidities, such as hypertension, obesity, and diabetes, that requires individualized management based on biological phenotypes (4,5). However, recent epidemiologic data from Asia suggest a unique lean diabetic phenotype of HFpEF, compared with other HF phenotypes, has the worst quality of life, more severe signs and symptoms of HF, and the highest rate of adverse clinical outcomes (6, 7, 8).…”