Sweden has one of the most equitable health care systems worldwide, and all patients with type 2 diabetes are followed in a nationwide registry, with the purpose of identifying groups in need of intensified and targeted interventions. In this study, Rawshani and colleagues examined 217 364 patients younger than 70 years from the Sweden National Diabetes Register with type 2 diabetes, and after adjustment was made for well-recognized risk factors, socioeconomic status remained a strong predictor of all 10 outcomes studied. The risk of death, cardiovascular death, and diabetes-related death was almost doubled due to low income, and risk of death from cancer was elevated by 30%. Immigrants displayed a 30% to 60% lower risk of all-cause, cardiovascular, and diabetes-related death, and non-Western immigrants also had 30% lower risk of death from cancer. New approaches, beyond traditional risk factor management, are warranted to reduce socioeconomic disparities.