Diabetes is common in recipients of LT-MCS (43%) but, in contrast to results from a previous study [28], does not increase mortality or serious adverse event rates during LT-MCS support [112, 113]. In a retrospective analysis (n = 244), LT-MCS therapy was associated with improvement in diabetic control that was attributed to improvements in cardiac output and normalization of biochemical derangements [114]. More awareness of diabetic patients with advanced HF is necessary [115].