Would people with metabolic syndrome ("pre type 2") also have this risk, or would fully evidenced type 2 be necessary?<p>An awful lot of people live semi continuously for years in a pre diabetic state. Not "I am not diabetic" and not "I have diabetes" -continually reminded by their medical advisors to cut down on their intake and drinking, exercise more and fix their sleep hygiene. "Or you'll have to go onto the drugs"