Lets talk about predictors of atherotrombotic risk in people with diabetes and glucose intolerance. The excess risk of cardiovascular disease in diabetic subjects is shared by those with impaired glucose tolerance and impaired fasting glucose (in less degree). What these conditions have in common is a syndrome of resistance to insulin action. Insulin sensitivity is universally present in patients with type 2 Diabetes and those with glucose intolerance. But even in people with normal glucose tolerance there is a wide range of sensitivity to the action of insulin with many insulin resistance subjects maintaining normal glucose tolerance.