INtroDuctIoN Of the 25.8 million Americans with type-2 diabetes mellitus, 7 million of these individuals are unaware that they have the disease. Medical costs are 2.3 times higher in patients with diabetes, with health care expenditures exceeding $174 billion annually.1 Complications include kidney failure, nontraumatic lower-extremity amputation, blindness, heart disease, and stroke. Type-2 di...