The prevalence of diabetes in the Netherlands increased from 1.8% in 1999 to 4.9% in 2014. Only half of this increase was explained by changes in age and gender over time. This was found in a study recently published in Nederlands Tijdschrift voor Geneeskunde using data from out-patient pharmacies in the PHARMO Database Network. To temper the increasing prevalence of diabetes, it is essential to gain more insight into the other factors responsible for the increase.

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