Nicotine can: Make blood sugar harder to control Increase insulin resistance, meaning insulin does not work as well Raise the risk of heart disease, which is already higher in diabetes Slow blood flow, which can affect healing and circulation Increase the risk of nerve damage and kidney problems over time What the Numbers Tell Us According to the CDC, people living with diabetes who use nicotine are 3040% more likely to develop heart disease compared to those who do not use nicotine Smoking or regular nicotine use can make it harder to reach target A1C levels Nicotine use increases the risk of diabetes-related complications, including problems with circulation and vision Vaping Still Delivers Nicotine Many people believe vaping is safer than smoking

Whilst I appreciate that CRUK have to be very considerate in terms of any position they take, and to be cautious with any statements to that effect, I do think it would to the Public Health community at large a world of good if they were to stop focusing entirely on statistical and chemical measurements, and actually *speak* to users of these devices and see the massive difference they make to their quality of life, and factor that into their studies and positions and without wishing to get to morbid, Im sure that quality of life is something CRUK would be familiar with for many of those it works with/for, and is not something that youd discount lightly
- Im tired of seeing you, one member of the Class of 2025 says to another
Microplast Nanoplast 1:9 OECD (2024) Policy scenarios for eliminating plastic pollution by 2040