Is it likely that this person had diabetes?

At 34, I would think aneurysm or heart attack/stroke. People don't generally die with undiagnosed diabetes, but until a diabetic controls their type 2 diabetes, they are prone to cardiovascular events because they have big sugar molecules running around the vessels causing clogs. (So to answer your question, it may have contributed and been the factor that caused it, but not too many people die from actual blood sugar.)

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If they are so careless to be getting their blood level to 498 the answer is pretty much anytime they get away from their insulin. your friend is litterally killing themself, and should be adivised that they will not likely live out the decade. Need to get on them about it at all costs, even if it causes the loss of a friendship, would you rather have a healthy enemy or a dead friend?

it is possible, but it is going too far to say it is likely or probable.

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