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Editorial
Health Care Reform
Octomber 12, 2009

Quality of Residential NeighborhoodA Modifiable Risk Factor for Type 2 Diabetes?

Arch Intern Med. 2009;169(18):1653-1654. doi:10.1001/archinternmed.2009.319

There has been a dramatic increase in the incidence of type 2 diabetes mellitus in developed countries during the last 50 years. In the United States, the prevalence of diabetes has increased from 0.9% in 1958 to 4.4% in 20001 and is projected to reach 7.2% by 2050.2 Diabetes causes substantial morbidity, disability, and mortality1 and is a major contributor to increased health care costs. In 2007, medical expenses related to diabetes totaled an astronomical $116 billion in the United States.3 We are therefore in great need of interventions to reduce the incidence of this disease.

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