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In diabetic patients, smoking can cause serious health problems to develop including Kidney disease Heart disease Eye disease (cataracts, glaucoma, and retinopathy) Peripheral neuropathy (damaged nerves to the arms and legs) Poor blood flow in the legs and feet that lead to infections, ulcers, and potentially amputation Furthermore, smoking directly affects the lungs and can lead to several respiratory diseases

In the heart of this chaos, some part of you is keenly aware of something

Achieving lower METS measured on a stress test is associated with higher cardiovascular risk

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This is because they would breathe in the black coal dust and over many years more and more accumulates in their lungs and their lungs become blacker.