A significant portion of my time as a research fellow at Massachusetts General Hospital (MGH) was dedicated to the exploration of a cohort of 314,292 patients at increased risk for metabolic syndrome . Patients in this cohort had at least one type 2 diabetes mellitus (T2DM) diagnosis code, a T2DM medication, an HGB A1C level ≥ 6.5 percent, or plasma glucose ≥ 200 mg/dl. Of these patients, 65,099 were diagnosed with T2DM at a specificity of 97 percent and positive predictive value of 96 percent . During my training years (2013–2016), my colleagues at MGH and Harvard and I…
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