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During pregnancy Individuals who have diabetes (either type 1 or type 2) can experience diabetes related complications unlinked to pregnancy (known as microvascular and macrovascular complications)

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It's left open-ended as to whether this lengthy backstory for CSM, whose real name is Carl Gerhard Busch according to The X-Files season 11, is true, but his final line in the episode suggests that at least some, if not most, of it is accurate.

Water-pipe smoking and metabolic syndrome: a population-based study