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This situation causes young people who first use electronic cigarettes to start smoking at a higher rate in the future

Contact your GP if: Your HbA1c result has come back in the non-diabetic hyperglycaemia range (4247 mmol/mol) and you are a current smoker your result may warrant further investigation with a fasting plasma glucose or oral glucose tolerance test, in line with NICE and WHO guidance You have been diagnosed with diabetes and are struggling to achieve your HbA1c target despite following dietary and medication advice, as smoking may be a contributing factor You have recently stopped smoking and noticed changes in your blood glucose readings, or received an unexpectedly higher HbA1c result at your next review You are experiencing symptoms suggestive of raised blood glucose, such as increased thirst, frequent urination, fatigue, or blurred vision Your GP can arrange repeat or confirmatory testing, review your diabetes management plan, and refer you to NHS Stop Smoking Services if you are ready to quit

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17 And it doesnt end there