secondhand tobacco smoke increases the risk of heart disease Impact smoking from childhood associated with greater of cardiac damage Cardiovascular Effects of Secondhand Smoke

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Per ADA 2026 Standards of Care, treatment is individualized based on A1C targets, comorbidities (CVD, CKD, heart failure), hypoglycemia risk, weight effects, cost, and patient preference

"It's never been asserted successfully around the world in any trade dispute that governments are not allowed to take public health measures to protect their community," she said

The act effectively banned indoor smoking in public places, including workplaces and public transit