Supported by the Juvenile Diabetes Research Foundation and the Helmsley Charitable Trust, the Diabetes Research Institute Foundation, and a grant (1UL1TR000460, to the University of Miami Clinical and Translational Science Institute) from the National Center for Advancing Translational Sciences and the National Institute on Minority Health and Health Disparities.

Disclosure forms provided by the authors is available with the full text of this letter at NEJM.org.

The views expressed in this letter are those of the authors and do not necessarily represent the views of the National Institutes of Health, the Department of Health and Human Services, or the U.S. government.