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People with diabetes who smoke are more likely to have serious health problems related to diabetes, including: The combination of high blood sugar due to insulin resistance and the negative effects of smoking can make damage to important parts of the body happen faster

Ribisl says, For a state that prides itself on allowing local control and decisions, I think its really appalling that we have a preemption law that restricts any local community from regulating smoking on a municipal level. He says that the tobacco industry has much more power at the federal and state levels

Conditions such as obesity and diabetes are known contributors to metabolic dysfunction-associated steatotic liver disease

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