Thank you to the authors for participating in this online discussion! The paper is very interesting and surprising, in particular, the finding that patients with type 2 diabetes have had a lesser decrease in fatal outcomes than controls. Looking at the data in Table S7, it struck me that there has been essentially no decrease in the event rates in deaths from causes other than cardiovascular disease. For example, I am extrapolating that these rates are 177.7 (406.1-228.4) in 1998-1999 and 225.4 (343.8-118.4) in 2012-2013. It appears that patients with type 2 diabetes are having an increase in deaths from other causes! What could possibly account for this? Are we inadvertently causing harm? Are we not addressing other sequelae of type 2 diabetes? Are there simply competing risks in patients with type 2 diabetes due to other associated comorbidity?
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