Imagine a society where over half its people, i.e. the majority of them, are diabetic or prediabetic. There is a good chance this will happen in the USA by 2020. The estimated $3.35 trillion cost over the coming ten years is massive. A study by The Center for Health Reform & Modernization of UnitedHealth Group, an insurance company, reveals that if the current pattern continues, those figures will be a reality within the next ten years. The report offers some suggestions which may slow things down, and perhaps even turn them round.