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* * Most of the doubling in diabetes projected to occur over the next 20 years (90–95%) will be type 2 diabetes, primarily due to growth of the middle-aged and elderly population. It is likely that these numbers will be matched or exceeded by people with impaired glucose tolerance and impaired fasting glucose who are at increased risk of developing diabetes, greatly adding to the future burden of disease. * * It is important that we understand just what the impact of this condition is. Already diabetes accounts for up to three million deaths per year, mostly as a result of the cardiovascula