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Blood sugar spikes can be subtle, but over time they damage blood vessels, nerves, and organs

For example, theres a good chance that a 65-year-old retiree and a 20-year-old graduate student will have vastly different perceptions of a question like How often do you feel left out?

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Acknowledgements Where authors are identified as personnel of the International Agency for Research on Cancer/World Health Organization, the authors alone are responsible for the views expressed in this article and they do not necessarily represent the decisions, policy or views of the International Agency for Research on Cancer/World Health Organization

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