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And when that doesn’t work, you get elevated blood sugar, or hyperglycemia.

Physical inactivity is the fourth leading mortality risk factor, following hypertension, smoking, and hyperglycemia.

Not taking medication regularly for diabetes can lead to dangerous consequences like severe hypoglycemia or hyperglycemia, coma and sometimes death.

"This underscores the fact that diabetes is largely a self-managed disease and that individuals with less experience managing their disease require additional education and support around major holidays to avoid hyperglycemia."

These patients suffered from a broader mix of illnesses — including hyperglycemia, blood clots and dehydration — than those in Leff’s original study.