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Despite the lack of direct head-to-head comparison of responsiveness of diabetic patients versus smokers to antiplatelet therapy, increasing the dose of antiplatelet therapy in patients with DM may be an option to improve platelet inhibition and may be an interesting avenue for future studies

However, others have questioned whether the fall in smoking rates can be directly linked with rise in the excise, and point out that smoking rates have remained highest among First Nations Australians and low-income earners, meaning it's these groups bearing the brunt of the tax hikes

As a drug it has a dual effect