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Shyam Biswal, lead study author and an environmental health science professor at Baltimore's Johns Hopkins University, said, "Our study demonstrated a clear association of prediabetes risk with the use of e-cigarettes." "With both e-cigarette use and prevalence of prediabetes dramatically on the rise in the past decade, our discovery that e-cigarettes carry a similar risk to traditional cigarettes with respect to diabetes is important for understanding and treating vulnerable individuals," he added