We read with great interest in Diabetes Care the study by Zaccardi et al. (1), which has provided novel information for a critical research question. The authors concluded that there is no association between type 2 diabetes (T2D) duration and cancer risk. They argued that cancer risk elevation observed for longer T2D duration may simply be an epiphenomenon of aging, since longer disease duration necessarily results in an older age. However, we encourage a few additional considerations.
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