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Smoking cessation remains critical, as smoking exacerbates endothelial dysfunction and can further compromise cardiac function

Fruits such as mangoes, bananas, and pineapple are high-glycemic (carbohydrates that are quickly digested and cause insulin spikes) and should be limited as well

10.2337/ds16-0026 20 HuntB.MalkinS

5 Institute of Clinical and Translational Research, Baylor College of Medicine, Houston, TX, USA Correspondence: Sankar D Navaneethan, Baylor College of Medicine, Department of Medicine, Renal Section, 1 Baylor Plaza, Suite 100.37D, Houston, TX, 77030, USA, Email [email protected] Abstract: Chronic kidney disease (CKD) incidence continues to rise along with obesity and diabetes, driving substantial medical, psychosocial, and economic burdens for patients