Response to Comment on Laiteerapong et al. The Legacy Effect in Type 2 Diabetes: Impact of Early Glycemic Control on Future Complications (The Diabetes & Aging Study). Diabetes Care 2019;42:416–426

Abstract

We appreciate the opportunity to discuss our work (1) further in response to Hulman et al. (2). While we understand and appreciate their four concerns, we respectfully disagree with their interpretation of our work and stand by our analytic approach and conclusions. One major concern was that the results were biased because we conditioned study inclusion on survival of 10 years. While we agree that conditioning on survival would be a concern if we were generalizing results to all patients with diabetes, we clearly specified that our results only apply to patients who survive a minimum of 10 years. It was necessary to condition the study population on some minimum years of survival because one must …