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We thank Lambers Heerspink et al. (1) for their comments and agree that observational studies are prone to confounding. We also agree that our study population represents high-risk patients with advanced type 2 diabetes and does not represent the general population. Importantly, after adjusting for factors independently associated with all-cause mortality including age, sex, duration of diabetes, atrial fibrillation, the presence and severity of chronic kidney disease (estimated glomerular filtration rate and log albumin excretion rate), and parameters associated with 24-h urinary sodium excretion (24hUNa) including BMI, all-cause mortality remained inversely associated …

Response to Comment on: Ekinci et al. Dietary Salt Intake and Mortality in Patients With Type 2 Diabetes. Diabetes Care 2011;34:703–709