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In 2021 to 2023, the odds ratio of diabetes per 100 units of the systemic immune-inflammation index is 0.96 (95% confidence interval 0.93 to 0.998), against a published 1.04 (1.02 to 1.06): a significant difference (corrected p 0.0039, or 0.0077 by t test), the later estimate below 1, though not significantly so after correction. This estimate is unweighted, as the published one is; with the survey weights and design, the paper's own cycles give 1.01 (0.955 to 1.07) and 2021 to 2023 gives 0.963 (0.917 to 1.01), different from the published estimate by z (corrected p 0.023) but not by t (0.092). Against our harmonized estimate on the paper's own cycles, the 2021 to 2023 estimate does not differ significantly (corrected p 0.052). · sciencejournal.ai