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Your chances of becoming insulin resistant go up if you're overweight, don't get enough exercise, have high blood pressure, or you smoke. Active or passive exposure to nicotine from tobacco smoke increases the risk of having high blood sugar and diabetes Indoor Air Cartoon Journal The Effects of Nicotine on insulin resistance and NAFLD. Mental health Download Scientific Diagram Toxic effects of smokeless tobacco on female reproductive health: A review PMC Smokeless tobacco increases type 2 diabetes by 70 per cent, study reports Is long term use of nicotine gum associated with insulin resistance? Consensus

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