While smoking is tough enough on health, adding in diabetes boosts the risk of an early death even more, new research confirms.

Heavy smokers who also have diabetes are at twice the risk of an early death compared to smokers without the blood sugar disease, the study found.

“Smoking is bad for all, but even more in those with diabetes,” said Dr. Joel Zonszein, director of the Clinical Diabetes Center at Montefiore Medical Center in New York City. He reviewed the new findings.

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