* Multivariable analyses were adjusted for age (continuous), diabetes duration (years), sex (men or women), Caucasian (yes/no), family history of MI or cancer (yes/no), hypertension status (no hypertension, new hypertension, always hypertension), lipid-lowering medication use (never user, new user, always user), aspirin use (never user, new user, always user), changes in smoking status (always never smoker, always past smoker, always current smoker, quit smoking after diabetes diagnosis, others), changes in physical activity (tertiles), changes in alcohol consumption (tertiles), changes in body mass index (tertiles), changes in total caloric intake (tertiles), changes in AHEI excluding nuts (tertiles), and nut consumption before diabetes diagnosis (continuous).