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Natural History of Diabetes Years of Diabetes *IGT = impaired glucose tolerance. Obesity IGT* Diabetes Uncontrolled Hyperglycemia Relative -Cell Function 100 (%) -20 -10 0 10 20 30 Plasma Glucose Insulin Resistance Insulin Secretion 120 (mg/dL) Adapted from International Diabetes Center (IDC), Minneapolis, Minnesota. Fasting Glucose Post-Meal Glucose Natural History of Type 2 Diabetes