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They occur when the veins become twisted and enlarged, causing them to bulge out from under the skin
[11] After Europeans arrived in the Americas in the late 15th century, tobacco smoking as a recreational activity became widespread
People with diabetes who also smoke are more likely to: experience kidney and heart disease have poor circulation leading to infections, ulcers, blood clots, or amputations develop eye diseases, such as retinopathy, that can lead to vision loss experience nerve damage that leads to pain, tingling, and mobility impairments Many of the combined health effects of smoking and diabetes make it more difficult to make healthful lifestyle choices
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Table 2 * A: I do not want to quit smoking