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Clinicians should therefore bear in mind that: A smoker's HbA1c result should be interpreted alongside the full clinical picture, including smoking history Where HbA1c results appear discordant with symptoms or clinical findings, complementary tests such as fasting plasma glucose or an oral glucose tolerance test (OGTT) may be appropriate, in line with NICE and WHO guidance Smoking status should be documented at every diabetes review and factored into clinical decision-making Impact of Smoking on Blood Sugar Control in Diabetes Smokers with diabetes consistently show higher HbA1c levels, greater insulin requirements, and significantly elevated risk of complications including cardiovascular disease, nephropathy, and retinopathy

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Patients with a COPD exacerbation following a flash burn may be managed similarly to other patients with COPD exacerbation