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Tobacco users with diabetes are more likely to face additional health challenges as well, such as: Heart and kidney disease Poor blood circulation that can lead to ulcers, infection and even amputation of the feet or legs Eye disease linked to blindness Nerve damage in the arms and legs, leading to weakness, numbness, pain and poor coordination 3

Tobacco use exacerbates every health condition, including diabetes and COVID-19, in addition to heart disease, cancer and stroke three of the leading causes of death in African Americans

BMJ 2021;372:n71

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Withdrawal produces significant craving, irritability, and difficulty concentrating, and relapse rates are extremely high without pharmacological support