To the Editor Christine and colleagues1 briefly comment on the implications of their findings for addressing income and racial disparities in type 2 diabetes mellitus (T2DM),1 and the accompanying commentary discusses the limitations of only altering the environment to address disparities.2 Both articles acknowledge the potential link between neighborhoods and stress. However, we feel this notion is more nuanced than either article describes, and we want to use this opportunity to extend the conversation about how neighborhoods may contribute to T2DM disparities.