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Diabetes mellitus is a metabolic disorder characterized by high levels of blood glucose (blood sugar). Diabetes causes high blood sugar levels because the body does not produce enough insulin (the hormone that converts nutrients into energy), or because the cells do not respond to the insulin that is produced. Diabetes, if left undiagnosed and untreated, can lead to cardiovascular disease, kidney damage, stroke, amputations due to diabetic foot conditions, and blindness due to diabetic retinopathy.