Pensioners may also be less mobile than the occupational population, and their age exceeds 60 years, which has been shown the enhance the propensity for VTE.1–5 Diabetes medications that predispose to hypoglycemia (insulins and sulphonylureas) had stronger associations than metformin, which may reflect the reported prothrombotic effect of hypoglycemia.19 Our large, nested case-control study supports that the previously reported cancer type-related variation of thrombotic risk is also relevant in the Finnish diabetes-rich cohort. This evidence concerns the gene INS and cancer.