Abstract
Type 2 diabetes has always been a snake in the grass, sneaking up on both those with the disease and their physicians. To whit, the term “mild diabetes” persists, even though the disease is a leading cause of premature death from cardiovascular causes, amputations, and blindness. Life expectancy is considerably worse after the diagnosis of type 2 diabetes than after the diagnosis of some types of cancer. Moreover, the incidence of this condition is currently increasing so rapidly that it has been referred to as a pandemic. Basic concepts of the causation of type 2 diabetes have changed little for . . .