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I smoked when young & voluntarily quit in my twenties - close to half a century ago. A few years ago, my PC doc told me I was prediabetic (A1c = 6.6). I cut out almost all sugary, high carb, & processed foods, & last test was 6.2. My grandfather died of diabetes related kidney failure. I'd imagine your friend maybe has a family history also. I hope the best possible for your friend.
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Marv Evans
'69 911E
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