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Multiple tobacco and nicotine product use is increasingly common among young people

For diagnosis of diabetes, we additionally used anti-diabetic drug descriptions with codes for insulins, sulfonylureas, metformin, meglitinides, thiazolidinediones, dipeptidyl peptidase-4 inhibitors, and -glucosidase inhibitors along with the 10th International Statistical Classification of Diseases (ICD-10) codes E1114 [11]

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Additionally, just 18 percent of adults in the United States are smokers today, raising concerns about the stability of this narrowing base as a source of state revenue