Additional files: List S1- Read codes for type 2 diabetes Table S1 - Sensitivity analysis censoring observation periods at time of stopping or changing therapy. Table S2 - Baseline characteristics (%) of hypertensive and CVD patients, according to exposure status Table S3 - Incident rates of T2DM at different follow-up times, according to hypertension and CVD diagnosis, for individuals with BMI≤25Kg/m2 1 Read codes for type 2 diabetes - list S1 13B1.00DIABETIC DIET 13L4.11DIABETIC CHILD 1434.00H/O: DIABETES MELLITUS 2BBF.00RETINAL ABNORMALITY - DIABETES RELATED 2G51000FOOT ABNORMALITY - DIABETES RELATED 2G5A.00O/E - RIGHT DIABETIC FOOT AT RISK 2G5B.00O/E - LEFT DIABETIC FOOT AT RISK 3882.00DIABETES WELL BEING QUESTIONNAIRE 3883.00DIABETES TREATMENT SATISFACTION QUESTIONNAIRE 42G4.00GLUCOSE 6-PHOSPHATE DEHYDROG. 42G4.11RED CELL GLUCOSE 6-PHOSPHATE DEHYDROGENASE LEVEL 42G6.00RED CELL GLUCOSE 6-PHOSPHATE DEHYDROGENASE SCREENING TEST 44T..00BLOOD GLUCOSE METHOD 44T..11BLOOD SUGAR METHOD 44T1.00RANDOM BLOOD SUGAR 44T1000RANDOM BLOOD SUGAR NORMAL 44T1100RANDOM BLOOD SUGAR LOW 44T1200RANDOM BLOOD SUGAR RAISED 44T2.00FASTING BLOOD SUGAR 44T3.002 HOURS POST FOOD BLOOD SUGAR 44T3.11POST PRANDIAL BLOOD SUGAR 44T4.00DIP-STICK BLOOD SUGAR 44T5.00LABORATORY BLOOD SUGAR 44T6.00LUNCH TIME BLOOD SUGAR 44T7.00SUPPER TIME BLOOD SUGAR 44T8.00BEDTIME BLOOD SUGAR 44T9.00GLUCOMETER BLOOD SUGAR 44TA.00PLASMA GLUCOSE 44TE.0030 MINUTE BLOOD GLUCOSE LEVEL 44TF.0060 MINUTE BLOOD GLUCOSE LEVEL 44TG.0090 MINUTE BLOOD GLUCOSE LEVEL 44TH.00120 MINUTE BLOOD GLUCOSE LEVEL 44TI.00150 MINUTE BLOOD GLUCOSE LEVEL 44TZ.00BLOOD GLUCOSE METHOD NOS 44U..00BLOOD GLUCOSE RESULT 44U..11BLOOD SUGAR RESULT 44U..12PLASMA GLUCOSE LEVEL 44U1.00BLOOD GLUCOSE 0-1.4 MMOL/L 44U2.00BLOOD GLUCOSE 1.5-2.4 MMOL/L 44U3.00BLOOD GLUCOSE 2.5-4.9 MMOL/L 44U4.00BLOOD GLUCOSE 5-6.9 MMOL/L 44U5.00BLOOD GLUCOSE 7-9.9 MMOL/L 44U6.00BLOOD GLUCOSE 10-13.9 MMOL/L 44U7.002 HOUR POST-PRANDIAL BLOOD GLUCOSE LEVEL 44U8.00BLOOD GLUCOSE NORMAL 44U9.00BLOOD GLUCOSE ABNORMAL 44UZ.00BLOOD GLUCOSE 14+ MMOL/L 44Uz.00BLOOD GLUCOSE RAISED NOS 44V..00GLUCOSE TOLERANCE TEST 44V..11BLOOD GLUCOSE TOLERANCE 44V..12BLOOD SUGAR TOLERANCE 44V1.00GLUCOSE TOLERANCE TEST NORMAL 44V2.00GLUCOSE TOL. TEST IMPAIRED 44V3.00GLUCOSE TOL. TEST DIABETIC 44VZ.00GLUCOSE TOLERANCE TEST NOS 44c1.00SERUM FASTING LIPOPROTEIN LEVEL 44d1.00PLASMA FASTING LIPOPROTEIN LEVEL 44d3.00PLASMA FASTING HDL CHOLESTEROL LEVEL 2 44d5.00PLASMA FASTING LDL CHOLESTEROL LEVEL 44e1.00PLASMA FASTING TRIGLYCERIDE LEVEL 44f..00SERUM GLUCOSE LEVEL 44f0.00SERUM RANDOM GLUCOSE LEVEL 44f1.00SERUM FASTING GLUCOSE LEVEL 44f2.00SERUM 2-HR POST-PRANDIAL GLUCOSE LEVEL 44f3.0030 MINUTE SERUM GLUCOSE LEVEL 44f4.0060 MINUTE SERUM GLUCOSE LEVEL 44f5.0090 MINUTE SERUM GLUCOSE LEVEL 44f6.00120 MINUTE SERUM GLUCOSE LEVEL 44f7.00150 MINUTE SERUM GLUCOSE LEVEL 44g..00PLASMA GLUCOSE LEVEL 44g0.00PLASMA RANDOM GLUCOSE LEVEL 44g1.00PLASMA FASTING GLUCOSE LEVEL 44g2.00PLASMA 2-HR POST-PRANDIAL GLUCOSE LEVEL 44g3.0030 MINUTE PLASMA GLUCOSE LEVEL 44g4.0060 MINUTE PLASMA GLUCOSE LEVEL 44g5.0090 MINUTE PLASMA GLUCOSE LEVEL 44g6.00120 MINUTE PLASMA GLUCOSE LEVEL 44g7.00150 MINUTE PLASMA GLUCOSE LEVEL 44j..00GLUCOSE LOAD TEST 466..00URINE TEST FOR GLUCOSE 4661.00URINE GLUCOSE TEST NOT DONE 4662.00URINE GLUCOSE TEST NEGATIVE 4663.00URINE GLUCOSE TEST = TRACE 4664.00URINE GLUCOSE TEST = + 4665.00URINE GLUCOSE TEST = ++ 4666.00URINE GLUCOSE TEST = +++ 4667.00URINE GLUCOSE TEST = ++++ 4669.00URINE DIPSTICK FOR GLUCOSE 466Z.00URINE GLUCOSE TEST NOS 46S4.00URINE GLUCOSE: CHEM. TITRE 46S4.11GLUCOSE - URINE TITRE 47C2.00FAECES CHROMAT.: GLUCOSE 488..00CSF: GLUCOSE LEVEL 488..11CSF GLUCOSE 4881.00CSF: GLUCOSE NORMAL 4882.00CSF: GLUCOSE DECREASED 488Z.00CSF: GLUCOSE INCREASED 4I39.00FLUID SAMPLE GLUCOSE 4I39.11GLUCOSE IN SAMPLE 66A..00DIABETIC MONITORING 66A1.00INITIAL DIABETIC ASSESSMENT 66A2.00FOLLOW-UP DIABETIC ASSESSMENT 66A3.00DIABETIC ON DIET ONLY 66A4.00DIABETIC ON ORAL TREATMENT 66A5.00DIABETIC ON INSULIN 66A8.00HAS SEEN DIETICIAN - DIABETES 66A9.00UNDERSTANDS DIET - DIABETES 66AA.11INJECTION SITES - DIABETIC 66AC.00BLOOD SUGAR CHARTS 66AD.00FUNDOSCOPY - DIABETIC CHECK 66AG.00DIABETIC DRUG SIDE EFFECTS 66AH.00DIABETIC TREATMENT CHANGED 66AI.00DIABETIC - GOOD CONTROL 66AJ.00DIABETIC - POOR CONTROL 66AJ.11UNSTABLE DIABETES 66AJ100BRITTLE DIABETES 66AJz00DIABETIC - POOR CONTROL NOS 66AK.00DIABETIC - COOPERATIVE PATIENT 3 66AL.00DIABETIC-UNCOOPERATIVE PATIENT 66AM.00DIABETIC - FOLLOW-UP DEFAULT 66AN.00DATE DIABETIC TREATMENT START 66AO.00DATE DIABETIC TREATMENT STOPP. 66AP.00DIABETES: PRACTICE PROGRAMME 66AQ.00DIABETES: SHARED CARE PROGRAMME 66AR.00DIABETES MANAGEMENT PLAN GIVEN 66AS.00DIABETIC ANNUAL REVIEW 66AZ.00DIABETIC MONITORING NOS 66Ag.00INSULIN NEEDLES CHANGED DAILY 66Ah.00INSULIN NEEDLES CHANGED FOR EACH INJECTION 66Ai.00DIABETIC 6 MONTH REVIEW 66Aj.00INSULIN NEEDLES CHANGED LESS THAN ONCE A DAY 66Ak.00DIABETIC MONITORING - LOWER RISK ALBUMIN EXCRETION 66Al.00DIABETIC MONITORING - HIGHER RISK ALBUMIN EXCRETION 68K1.00URINE SCREEN FOR GLUCOSE 8A12.00DIABETIC CRISIS MONITORING 8A13.00DIABETIC STABILISATION 8A17.00SELF MONITORING OF BLOOD GLUCOSE 8A18.00SELF MONITORING OF URINE GLUCOSE 8A19.00SELF MONITORING OF BLOOD AND URINE GLUCOSE 8CA4100PT ADVISED RE DIABETIC DIET 8H2J.00ADMIT DIABETIC EMERGENCY 8H3O.00NON-URGENT DIABETIC ADMISSION 8H4F.00REFERRAL TO DIABETOLOGIST 8H7C.00REFER, DIABETIC LIAISON NURSE 8HHy.00REFERRAL TO DIABETIC REGISTER 8HKE.00DIABETOLOGY D.V. REQUESTED 8HLE.00DIABETOLOGY D.V. DONE 8HME.00LISTED FOR DIABETOLOGY ADMISSN 8HTi.00REFERRAL TO MULTIDISCIPLINARY DIABETIC CLINIC 8HTk.00REFERRAL TO DIABETIC EYE CLINIC ABETIC CLINIC 8HVU.00PRIVATE REFERRAL TO DIABETOLOGIST 9N1Q.00SEEN IN DIABETIC CLINIC 9N1o.00SEEN IN MULTIDISCIPLINARY DIABETIC CLINIC NIC 9N4p.00DID NOT ATTEND DIABETIC RETINOPATHY CLINIC 9NM0.00ATTENDING DIABETES CLINIC 9OL..00DIABETES MONITORING ADMIN. 9OL1.00ATTENDS DIABETES MONITORING 9OL4.00DIABETES MONITORING 1ST LETTER 9OL5.00DIABETES MONITORING 2ND LETTER 9OL6.00DIABETES MONITORING 3RD LETTER 9OL7.00DIABETES MONITOR.VERBAL INVITE 9OL8.00DIABETES MONITOR.PHONE INVITE 9OLA.00DIABETES MONITOR. CHECK DONE 9OLA.11DIABETES MONITORED 9OLZ.00DIABETES MONITORING ADMIN.NOS C10..00DIABETES MELLITUS C100011INSULIN DEPENDENT DIABETES MELLITUS C100111MATURITY ONSET DIABETES C100112NON-INSULIN DEPENDENT DIABETES MELLITUS C101.00DIABETES MELLITUS WITH KETOACIDOSIS C101000DIABETES MELLITUS, JUVENILE TYPE, WITH KETOACIDOSIS C101100DIABETES MELLITUS, ADULT ONSET, WITH KETOACIDOSIS C101y00OTHER SPECIFIED DIABETES MELLITUS WITH KETOACIDOSIS C101z00DIABETES MELLITUS NOS WITH KETOACIDOSIS C102.00DIABETES MELLITUS WITH HYPEROSMOLAR COMA C102000DIABETES MELLITUS, JUVENILE TYPE, WITH HYPEROSMOLAR COMA C102100DIABETES MELLITUS, ADULT ONSET, WITH HYPEROSMOLAR COMA C102z00DIABETES MELLITUS NOS WITH HYPEROSMOLAR COMA 4 C103.00DIABETES MELLITUS WITH KETOACIDOTIC COMA C103000DIABETES MELLITUS, JUVENILE TYPE, WITH KETOACIDOTIC COMA C103y00OTHER SPECIFIED DIABETES MELLITUS WITH COMA C103z00DIABETES MELLITUS NOS WITH KETOACIDOTIC COMA C104.00DIABETES MELLITUS WITH RENAL MANIFESTATION C104.11DIABETIC NEPHROPATHY C104z00DIABETES MELLITIS WITH NEPHROPATHY NOS C105.00DIABETES MELLITUS WITH OPHTHALMIC MANIFESTATION C106.11DIABETIC AMYOTROPHY C106.12DIABETES MELLITUS WITH NEUROPATHY C106.13DIABETES MELLITUS WITH POLYNEUROPATHY C107.11DIABETES MELLITUS WITH GANGRENE C107.12DIABETES WITH GANGRENE C107200DIABETES MELLITUS, ADULT WITH GANGRENE C108.00INSULIN DEPENDENT DIABETES MELLITUS C108.11IDDM-INSULIN DEPENDENT DIABETES MELLITUS C108.12TYPE 1 DIABETES MELLITUS C108400UNSTABLE INSULIN DEPENDANT DIABETES MELLITUS C108500INSULIN DEPENDENT DIABETES MELLITUS WITH ULCER C108900INSULIN DEPENDANT DIABETES MATURITY ONSET C108A00INSULIN-DEPENDENT DIABETES WITHOUT COMPLICATION C109.00NON-INSULIN-DEPENDENT DIABETES MELLITUS C109.11NIDDM - NON-INSULIN DEPENDENT DIABETES MELLITUS C109.12TYPE 2 DIABETES MELLITUS C10A.00MALNUTRITION-RELATED DIABETES MELLITUS C10A000MALNUTRITION-RELATED DIABETES MELLITUS WITH COMA C10A100MALNUTRITION-RELATED DIABETES MELLITUS WITH KETOACIDOSIS C10B.00DIABETES MELLITUS INDUCED BY STEROIDS C10EQ00TYPE 1 DIABETES MELLITUS WITH GASTROPARESIS C10FR00TYPE 2 DIABETES MELLITUS WITH GASTROPARESIS C10z.00DIABETES MELLITUS WITH UNSPECIFIED COMPLICATION C11y000STEROID INDUCED DIABETES C1A..00INSULIN RESISTANCE LITUS WITH GASTROPARESIS C310.12GLUCOSE-6-PHOSPHATE DEFICIENCY C310212GLUCOSE-6-PHOSPHATASE DEFICIENCY C313000GLUCOSE - GALACTOSE INTOLERANCE C313011MALABSORPTION OF GLUCOSE - GALACTOSE C313500GLUCOSE INTOLERANCE C313511MALABSORPTION OF GLUCOSE C314.11RENAL DIABETES Cyu2.00[X]DIABETES MELLITUS Cyu2000[X]OTHER SPECIFIED DIABETES MELLITUS D102000GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY ANAEMIA F171100AUTONOMIC NEUROPATHY DUE TO DIABETES F345000Diabetic mononeuritis multiplex F35z000DIABETIC MONONEURITIS NOS F372.00POLYNEUROPATHY IN DIABETES F372.11DIABETIC POLYNEUROPATHY F372.12DIABETIC NEUROPATHY F372000ACUTE PAINFUL DIABETIC NEUROPATHY F372100CHRONIC PAINFUL DIABETIC NEUROPATHY F372200ASYMPTOMATIC DIABETIC NEUROPATHY F381300MYASTHENIC SYNDROME DUE TO DIABETIC AMYOTROPHY F381311DIABETIC AMYOTROPHY F3y0.00DIABETIC MONONEUROPATHY F420.00DIABETIC RETINOPATHY F420000BACKGROUND DIABETIC RETINOPATHY F420100PROLIFERATIVE DIABETIC RETINOPATHY F420200PREPROLIFERATIVE DIABETIC RETINOPATHY F420300ADVANCED DIABETIC MACULOPATHY 5 F420400DIABETIC MACULOPATHY F420500ADVANCED DIABETIC RETINAL DISEASE F420z00DIABETIC RETINOPATHY NOS F440700DIABETIC IRITIS F464000DIABETIC CATARACT G73y000DIABETIC PERIPHERAL ANGIOPATHY K01x100NEPHROTIC SYNDROME IN DIABETES MELLITUS L180500PRE-EXISTING DIABETES MELLITUS, INSULIN-DEPENDENT L180800DIABETES MELLITUS ARISING IN PREGNANCY L180811GESTATIONAL DIABETES MELLITUS L180900GESTATIONAL DIABETES MELLITUS L180X00PRE-EXISTING DIABETES MELLITUS, UNSPECIFIED L188.00ABNORMAL GLUCOSE TOLERANCE TEST IN PREGNANCY/CHILDB/PUERP L188.11GTT - GLUCOSE TOLERANCE TEST ABNORMAL IN PREG/CHILDB/PUERP M037200CELLULITIS IN DIABETIC FOOT M271000ISCHAEMIC ULCER DIABETIC FOOT M271100NEUROPATHIC DIABETIC ULCER - FOOT M271200MIXED DIABETIC ULCER - FOOT N030000DIABETIC CHEIROARTHROPATHY N030011DIABETIC CHEIROPATHY N030100DIABETIC CHARCOT ARTHROPATHY Q441.00NEONATAL DIABETES MELLITUS Q44B.00SYNDROME OF INFANT OF MOTHER WITH GESTATIONAL DIABETES R054200[D]GANGRENE OF TOE IN DIABETIC R054300[D]WIDESPREAD DIABETIC FOOT GANGRENE R102.00[D]GLUCOSE TOLERANCE TEST ABNORMAL R102.12[D]IMPAIRED GLUCOSE TOLERANCE TEST R105700[D]GLUCOSE, BLOOD LEVEL ABNORMAL ZV65312[V]DIETARY COUNSELLING IN DIABETES MELLITUS 6 Table S1 - Sensitivity analysis censoring observation periods at time of stopping or changing therapy Follow up time (years) Ps [595%] (N=1,448,993) Hazard ratio (95% CI)* STOP Incident T2DM per 1000 person-years STOP CHANGE Exposed CHANGE Unexposed Exposed Unexposed No Hypertension 0-1 yr 2.35 (2.25-2.46) 2.97 (2.86-3.09) 22.07 (21.46-22.70) 8.65 (8.44-8.85) 29.71 (28.99-30.44) 8.91 (8.70-9.11) 1-3 yr 1.62 (1.57-1.68) 1.89 (1.83-1.95) 20.07 (19.63-20.53) 10.60 (10.42-10.77) 23.83 (23.33-24.33) 10.68 (10.49-10.86) 3-5 yr 2.14 (2.06-2.24) 2.33 (2.23-2.43) 23.55 (22.98-24.14) 9.56 (9.33-9.80) 26.31 (25.66-26.98) 9.64 (9.41-9.88) 5-10 yr 10-15 yr 15-20 yr 2.66 (2.55-2.79) 3.31 (2.90-3.78) 4.37 (2.86-6.67) 2.78 (2.65-2.92) 3.09 (2.66-3.59) 4.20 (2.57-6.86) 29.32 (28.70-29.96) 34.17 (32.48-35.96) 44.52 (38.06-52.09) 9.32 (9.06-9.59) 9.31 (8.48-10.21) 11.55 (8.41-15.88) 30.84 (30.10-31.59) 34.59 (32.37-36.96) 45.38 (36.14-56.99) 9.37 (9.11-9.65) 9.34 (8.50-10.26) 11.72 (8.49-16.17) 0-1 yr 1-3 yr 3-5 yr 5-10 yr 10-15 yr 15-20 yr No CVD 1.08 (1.02-1.14) 0.90 (0.86-0.94) 1.29 (1.22-1.37) 1.64 (1.53-1.75) 2.26 (1.73-2.95) 2.66 (0.89-7.97) 1.31 (1.25-1.38) 1.01 (0.97-1.05) 1.39 (1.31-1.47) 1.62 (1.51-1.75) 2.19 (1.64-2.93) 1.09 (0.22-5.51) 23.11 (19.86-20.96) 23.67 (23.09-24.72) 29.80 (29.01-30.61) 35.80 (34.90-36.73) 41.68 (38.76-44.83) 47.97 (36.25-63.47) 20.40 (19.86-20.96) 24.20 (23.68-24.72) 20.51 (19.82-21.23) 19.25 (18.38-20.17) 18.33 (15.02-22.37) 22.38 (9.31-53.77) 31.15 (30.26-32.07) 27.86 (27.21-28.54) 32.72 (31.83-33.63) 37.02 (35.97-38.10) 42.79 (38.98-46.97) 26.73 (16.12-44.35) 21.28 (20.72-21.85) 24.76 (24.23-25.30) 20.96 (20.24-21.70) 19.70 (18.79-20.65) 19.15 (15.64-23.44) 19.21 (7.21-51.17) 0-1 yr 1-3 yr 3-5 yr 5-10 yr 10-15 yr 15-20 yr 1.99 (1.92-2.06) 1.42 (1.38-1.46) 1.98 (1.91-2.05) 2.49 (2.39-2.59) 3.14 (2.77-3.55) 4.28 (2.83-6.46) 2.49 (2.41-2.58) 1.63 (1.58-1.67) 2.12 (2.04-2.20) 2.53 (2.42-2.64) 2.85 (2.47-3.29) 3.80 (2.31-6.25) 23.47 (22.92-24.03) 21.90 (21.50-22.32) 26.58 (26.04-27.14) 32.31 (31.69-32.94) 35.31 (33.47-37.27) 46.07 (39.13-54.25) 10.74 (10.54-10.95) 12.93 (12.75-13.11) 11.18 (10.95-11.42) 10.56 (10.30-10.83) 10.08 (9.26-10.99) 11.81 (8.70-16.04) 31.35 (30.71-32.00) 25.44 (24.99-25.90) 28.83 (28.23-29.45) 32.99 (32.27-33.72) 33.97 (31.64-36.47) 41.48 (32.47-52.99) 11.04 (10.83-11.25) 13.05 (12.87-13.24) 11.29 (11.06-11.53) 10.62 (10.35-10.89) 10.21 (9.37-11.13) 11.71 (8.55-16.03) 0-1 yr 1-3 yr 3-5 yr 0.83 (0.77-0.91) 0.79 (0.74-0.85) 1.02 (0.92-1.12) 1.01 (0.94-1.09) 0.95 (0.88-1.01) 1.18 (1.07-1.30) 18.85 (17.91-19.83) 20.11 (19.38-20.88) 24.24 (23.31-25.21) 21.05 (20.08-22.07) 23.77 (22.79-24.79) 21.30 (19.83-22.88) 26.31 (25.19-27.48) 25.44 (24.58-26.32) 28.96 (27.86-30.10) 22.84 (21.81-23.91) 24.54 (23.52-25.60) 21.79 (20.25-23.45) 5-10 yr 10-15 yr 15-20 yr 1.40 (1.25-1.57) 2.26 (1.42-3.58) 1.62 (0.35-7.51) 1.51 (1.34-1.71) 2.96 (1.73-5.05) 1.29 (0.24-6.88) 30.22 (29.29-31.17) 37.96 (35.54-40.55) 43.57 (33.90-56.01) 18.73 (16.98-20.66) 14.70 (9.49-22.79) 48.47 (12.12-193.81) 33.45 (32.31-34.63) 42.06 (38.70-45.71) 38.54 (26.04-57.03) 19.71 (17.82-21.81) 13.05 (7.87-21.65) 57.40 (14.35-22.95) Hypertension CVD PS – propensity score; *Final model: adjusted for age and propensity score; CVD – cardiovascular disease; STOP – observation periods censored at time of statin withdrawn; CHANGE – observation periods censored at time exposure status changed. 7 Table S2 - Baseline characteristics (%) of hypertensive and CVD patients, according to exposure status Baseline Characteristics Pscore [5-95%] BMI>25Kg/m2 Hyperlipidaemia Abnormal glucose CVD or Hypertension Exposed 71.73% 6.33% 1.80% 17.83% Hypertension Unexposed 67.04% 4.49% 1.71% 15.88% CVD Exposed 63.46% 5.10% 0.93% 33.98% Unexposed 56.94% 4.99% 1.24% 50.58% 8 Table S3 - Incident rates of T2DM at different follow-up times, according to hypertension and CVD diagnosis, for individuals with BMI≤25Kg/m2 Statin use Follow up time (years) PS [5-95%] No Hypertension 0-1 yr 1-3 yr 3-5 yr 5-10 yr 10-15 yr 15-20 yr 20-25 yr Hypertension 0-1 yr 1-3 yr 3-5 yr 5-10 yr 10-15 yr 15-20 yr 20-25 yr No CVD 0-1 yr 1-3 yr 3-5 yr 5-10 yr 10-15 yr 15-20 yr 20-25 yr CVD 0-1 yr 1-3 yr 3-5 yr 5-10 yr 10-15 yr 15-20 yr 20-25 yr Yes No Hazard ratio (95% CI)* Incident T2DM per 1000 person-years (95% CI) Incident T2DM per 1000 person-years (95% CI) 1.81 (1.64-2.01) 11.39 (10.62-12.22) 5.20 (4.95-5.47) 1.39 (1.28-1.50) 1.62 (1.47-1.79) 2.12 (1.91-2.35) 2.59 (1.94-3.45) 2.10 (1.00-4.43) n.e. 11.00 (10.43-11.60) 11.74 (11.04-12.47) 15.06 (14.30-15.87) 17.30 (15.35-19.50) 26.86 (19.78-36.48) 0 6.05 (5.83-6.27) 5.42 (5.14-5.71) 5.15 (4.85-5.48) 5.38 (4.47-6.48) 10.92 (6.69-17.82) 0 1.11 (0.97-1.28) 0.85 (0.76-0.95) 1.11 (0.95-1.29) 1.51 (1.27-1.81) 4.29 (2.11-8.70) n.e. n.e. 12.58 (11.49-13.78) 11.99 (11.19-12.85) 14.86 (13.81-16.00) 17.24 (16.07-18.50) 21.19 (17.58-25.54) 21.13 (10.57-42.25) 0 11.05 (10.31-11.85) 12.81 (12.11-13.54) 11.47 (10.52-12.49) 10.47 (9.33-11.75) 7.48 (4.24-13.16) 0 0 1.75 (1.59-1.91) 1.27 (1.18-1.36) 1.55 (1.42-1.70) 2.05 (1.87-2.26) 2.77 (2.10-3.66) 2.53 (1.20-5.34) n.e. 11.72 (10.99-12.50) 11.21 (10.67-11.76) 12.64 (11.97-13.35) 15.66 (14.89-16.47) 17.82 (15.67-20.27) 26.70 (19.26-37.02) 0 5.79 (5.54-6.05) 6.74 (6.52-6.97) 6.04 (5.76-6.33) 5.63 (5.32-5.95) 5.44 (4.54-6.52) 9.75 (5.88-16.17) 0 0.89 (0.75-1.07) 0.85 (0.73-0.98) 0.99 (0.80-1.22) 1.44 (1.11-1.86) 2.10 (0.83-5.35) 0.37 (0.33-4.04) n.e. 12.09 (10.81-13.53) 11.80 (10.84-12.85) 13.39 (12.22-14.68) 16.01 (14.85-17.27) 19.04 (16.19-22.38) 23.35 (13.56-40.21) 0 12.86 (11.60-14.26) 14.80 (13.53-16.18) 12.53 (10.75-14.61) 10.40 (8.39-12.90) 9.33 (3.89-22.41) 6.74 (9.49-47.85) 0 9