The link between smoking and diseases including heart diseases diabetes cancer and respiratory disorders has been well established. Now a new study claims that there is a strong association between the use of hookahs and diabetes. The study published in Diabetology & Metabolic Syndrome journal says that there was a positive association between hookah smoking and metabolic syndrome diabetes obesity and dyslipidemia which was not established in cigarette smoking. The study notes that tobacco smoking is one of the leading causes of mortality and morbidity globally. Which is worse cigarettes or hookahs? Tobacco smoking is responsible for 6 billion deaths