Diabetic retinopathy was significantly increased in the Hispanic diabetic pa- tients surveyed in the third National Health and Nutrition Examination Survey (NHANES III) population study (11) and in a cohort of Hispanic patients living in Texas (28); inexplicably, however, it was not increased in Hispanic patients from Southern Colorado. Both microalbuminuria and clinical proteinuria , and ESRD in particular , were significantly more prev- alent in Hispanics compared with nonhispanic patients