ABSTRACT

Because the degree of insulin deficiency in type 2 diabetes is less dra-

matic than in type 1, it has sometimes been regarded by doctors and

patients alike as mild diabetes. The effects of the disease and its com-

plications on mortality and morbidity, however, are profound. A diag-

nosis of type 2 diabetes increases 5-year mortality two-or three-fold

and decreases life expectancy by 5-10 years. Most of this excess

mortality is from cardiovascular disease (Fig 14).