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TO GO WITH AFP STORY BY Blanca Morel A patient with diabetes monitors... NyhetsfotoBlod,Blodsockerprov,Diabetes,Glukos,Horisontell,Hälsovård och medicin,Managua,Nicaragua,Patient,SjukhusPhotographer Collection: AFP 2011 AFPTO GO WITH AFP STORY BY Blanca Morel A patient with diabetes monitors his blood glucose with a glucometer at a public hospital in Managua, on September 22, 2011. Diabetes is now the second cause of death in Nicaragua as junk food, alcohol and a sedentary lifestyle spread among the population more and more. AFP PHOTO/ELMER MARTINEZ (Photo credit should read ELMER MARTINEZ/AFP/Getty Images)