Mathur R, et al. - Researchers undertook an observational cohort study of 179,886 people with incident type 2 diabetes between 2004 and 2017 in the Clinical Practice Research Datalink in order to describe ethnic differences in the severity and clinical management of type 2 diabetes at initial diagnosis. In this cohort, 63.4% were of white ethnicity, 3.9% South Asian, and 1.6% black. The analysis revealed that relative to white groups, non-white groups had better or equivalent capture of risk factors prior to diagnosis. South Asian and Black groups had more favorable risk factor levels at diagnosis. Non-white groups had faster initiation of diabetes therapy than white groups. Inequalities in initial diagnosis seemed not explaining the downstream inequalities in type 2 diabetes. Genetic risk factors may explain the ethnic disparities in downstream consequences, or these disparities may manifest later in the care pathway, potentially in relation to long-term risk factor control.