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FILE - In this Friday, March 1, 2013 file photo, Chan Lai Ly, right, has his mouth examined by Honghue Duong, a physician's assistant, as part of a regular check-up related to his diabetes at International Community Health Services in Seattle. Over the last two decades, the rates of heart attacks and strokes among diabetics fell by more than 60 percent, a new federal study shows. The research from the Centers for Disease Control and Prevention was reported in the Thursday, April 17, 2014 edition of the New England Journal of Medicine. The drop is mainly attributed to better screening, medicines and care. The improvements came even as the number of U.S. adults with diabetes more than tripled in those 20 years. (AP Photo/Ted S. Warren)

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