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===Environmental factors=== Hyperglycemia is lower in higher income groups since there is access to better education, healthcare, and resources. Low-middle income groups are more likely to develop hyperglycemia, due in part to a limited access to education and a reduced availability of healthy food options.<ref>{{cite journal |last1=Ma |first1=Ronald CW |last2=Popkin |first2=Barry M |date=2017 |title=Intergenerational diabetes and obesity—A cycle to break? |journal=PLOS ONE |volume=14 |issue=10 |pages=e1002415 |pmid=29088227 |doi=10.1371/journal.pmed.1002415 |doi-access=free |pmc=5663330}}</ref> Living in warmer climates can reduce hyperglycemia due to increased physical activity while people are less active in colder climates.<ref>{{cite journal |last1=Ishii |first1=Hajime |last2=Suzuki |first2=Hodaka |last3=Baba |first3=Tsuneharu |last4=Nakamura |first4=Keiko |last5=Watanabe |first5=Tsuyoshi |date=2001 |title=Seasonal Variation of Glycemic Control in Type 2 Diabetic Patients |journal=Diabetes Care |volume=24 |issue=8 |pages=1503 |pmid=11473100 |doi=10.2337/diacare.24.8.1503 |doi-access=free |url=https://care.diabetesjournals.org/content/24/8/1503.1 |access-date=2019-12-06 |url-status=live |archive-url=https://web.archive.org/web/20191206004259/https://care.diabetesjournals.org/content/24/8/1503.1 |archive-date=2019-12-06}}</ref>
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