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As you well know the world is facing an epidemic of chronic diseases related to diabetes. We are seeing high rates of vascular disease, strokes, dental disease, blindness, heart attacks, amputations, liver disease, renal failure, many types of cancer, memory loss and dementia, all related to diabetes. It is a national and world epidemic. One out of every two people in this nation have prediabetes. The complications mentioned above can occur in prediabetes. Unexpected, unannounced heart attacks and strokes are common. 90% of these heart attacks and strokes have gone undiagnosed and patients have little knowledge of the coming tsunami.