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OHT recipients with a BMI = 35 have worse survival than those with a BMI 35. Diabetes is a risk factor for mortality. We evaluated the impact of diabetes on mortality rates after OHT in patients with a BMI 35. Patients 18 years who underwent OHT 2008-2017 with a BMI = 35 were identified in the UNOS database. Recipient and donor characteristics were compared. A Kaplan Meier analysis was performed. A multivariable Cox proportional hazards model examined the relationship between diabetes and survival. The equivale