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[Comment] Diabetes mortality in the USA: winning the battle but not the war?

A worldwide epidemic of type 2 diabetes is underway. In 2017, the International Diabetes Federation estimated that 425 million people had diabetes globally, an increase of 274 million since 2000, and that 4 million excess deaths were attributable to diabetes, compared with about 2 million in 2000.1,2 Death rates in people with diabetes are higher than in people of similar sex and age without diabetes, and the differences are directly or indirectly attributable to diabetes. Death rates are highest in those who have had diabetes for a long time, and mainly result from its serious vascular complications, which lead to excess deaths especially from cardiovascular disease, renal disease, and infections.