Worldwide, the age-standardised prevalence of diabetes more than doubled between 1980 and 2014, with the greatest relative and absolute increases seen in low-income and middle-income countries.1 Results from a previous large-scale collaborative meta-analysis of prospective studies done mostly in high-income countries showed that diabetes was associated with an approximate doubling in all-cause mortality risk, with the greatest excess due to deaths from occlusive vascular diseases (eg, ischaemic heart disease and ischaemic stroke).2, 3 In those studies, the proportional increase in occlusive vascular risk associated with diabetes was higher among women than among men.3 Similarly, findings from a large Chinese study showed somewhat larger relative risks associated with diabetes for….. continue reading https://www.thelancet.com/journals/landia/article/PIIS2213-8587(18)30079-2/fulltext