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Diabetes: Nicotine and tobacco can increase the risk of developing type 2 diabetes

In 12 states a region we call Tobacco Nation that spans Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee, and West Virginia both adults and young adults have 50% higher smoking prevalence and smoke many more cigarettes per capita annually than people living in other states

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Adults in Tobacco Nation more often report poor physical and mental health days and report more frequent mental and physical distress compared to the rest of the U.S