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The authors are grateful for the financial support from the National Institute of Diabetes and Digestive and Kidney Diseases under contract number GS10F0381, purchase number HHSN276201000389U. We would like to acknowledge Sheryl Rifas-Shiman, MPH (Senior Research Analyst, Obesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute), for analyzing the diabetes testing and survey data, and Karen McCowen, MD (Assistant Professor, Endocrinologist, Harvard Vanguard Medical Associates and Harvard Medical School during the study), for serving as the HVMA liaison to the study and assisting with verification of the diabetes testing data. The authors declare that they have no competing interests. Kathryn Paez, the corresponding author of this manuscript, had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.