Mathur R, et al. - An observational cohort study was conducted to explore ethnic differences in the severity and clinical management of T2D patients at initial diagnosis. Between 2004 and 2017, experts enrolled 179,886 T2D individuals. The applied linear and logistic regression to derive ethnic differences in clinical profile at diagnosis, consultation rates, and risk factor recording. In comparison with white groups, non-white groups had fewer consultations in the 12 months prior to diagnosis but risk factor recording was greater than or equivalent to white groups for 9/10 risk factors for south Asian groups and 8/10 risk factors for black groups. Systematic ethnic inequalities around the time of T2D diagnosis was less evident. It was observed that, potentially in relation to long-term risk factor control, ethnic disparities in downstream consequences may associate to genetic risk factors, or manifest later in the care pathway.