Sugar in Chewing Tobacco

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Abstract
To the Editor: We have followed with interest the recent letters and reports in the Journal on the medical complications of the use of chewing tobacco and snuff. We wish to report that the use of chewing tobacco by a diabetic patient resulted in poor control of the diabetes.A 56-year-old man, an insulin-requiring diabetic, was admitted to the hospital with a blood glucose level of 480 mg per deciliter. He had been on a drinking binge for one week, and he had not taken his insulin during this period. Since discharge six months previously, he had been taking 40 . . .

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