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In all food frequency questionnaires we asked the participants how often, on average, they consumed each food in a standard portion size.Participants could choose from nine possible responses, ranging from “never, or less than once per month” to “six or more times per day.” We consistently asked about 10 individual fruits since baseline: grapes or raisins; peaches, plums, or apricots; prunes; bananas; cantaloupe; apples or pears; oranges; grapefruit; strawberries; and blueberries.

The highest two consumption levels were combined for prunes, cantaloupe, and blueberries owing to the small number of participants with high consumption levels of these fruits.In all three cohorts, to inquire about symptoms, diagnostic tests, and diabetes drug use we mailed a supplementary questionnaire to participants who reported physician diagnosed diabetes in the follow-up questionnaires.A type 2 diabetes diagnosis was confirmed if participants met at least one of the following National Diabetes Data Group criteria21: one or more classic symptoms (excessive thirst, polyuria, weight loss, and hunger) plus raised blood glucose levels (fasting levels ≥140 mg/d L (7.8 mmol/L), random blood levels ≥200 mg/d L (11.1 mmol/L), and/or two hour blood glucose levels ≥200 mg/d L during oral glucose tolerance testing), raised blood glucose levels on two different occasions in the absence of symptoms, or treatment with antidiabetic drugs (insulin or oral antidiabetic agent). uses cookies to improve performance by remembering your session ID when you navigate from page to page.

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In all three cohorts the follow-up rates are approximately 90%.

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