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Flowchart of outcomes (1) Type-2 diabetes and (2) Insulin Resistance (type-2 diabetes or Metabolic Syndrome). Type-2 diabetes: elevated fasting glucose or hemoglobin AIC or medication use for self-reported diabetes. Metabolic Syndrome: enlarged waist circumference (male: ≥ 90 cm, female: ≥ 80 cm) plus any 2 of the following 4 risk factors: elevated blood pressure, fasting plasma glucose, or triglycerides, or a decreased high-density lipoprotein.
