I had two patients, whom I will call Alice and Kenton, both Indigenous Canadians. Alice was lean at diagnosis of type 2 diabetes at age 10 years. Kenton was more than 250 pounds (113 kg) at age 14 years. Alice had a very strong family history, Kenton had no family history. Both Alice and Kenton are dead, both before age 30 years, Alice from complications of dialysis, Kenton from intractable diarrhoea and diabetic gastroparesis. The mysteries of type 2 diabetes.