.Publisheru00e2 $ s note Springer Attributes stays neutral with regard to jurisdictional insurance claims in posted maps and institutional affiliations.This is a review of: Gregg, E. W. et al. The concern of diabetes-associated multiple lasting problems on years of daily life invested and lost. Nat. Med. https://doi.org/10.1038/s41591-024-03123-2 (2024 ).