 Wider health problems may accelerate the deleterious effects of diabetes.These include smoking, elevated cholesterol levels, obesity, high blood pressure, and lack of regular exercise.Although chronic kidney disease (CKD) is not currently identified as one of WHO's main targets for global NCD control, there is compelling evidence that CKD is not only common, harmful and treatable but also a major contributing factor to the incidence and outcomes of at least three of the diseases targeted by WHO (diabetes, hypertension and CVD).