Nicotine gum (for ADHD) and risk to future insulin effectiveness?

[askingdoctorsomething123]

25 M, 6'1, 185 lbs, white, ADHD, Paxil 40mg + Caffeine ~ 200mg + Nicotine ~ 6mg

My grandmother developed diabetes.

In 2020 my Glucose level (from a COMPREHENSIVE METABOLIC PANEL, done for a routine physical) was 91 mg/dL, last month it was 105 mg/dL. The test mentions that a normal range is 65 - 99 mg/dL.

Should I stop using nicotine gum to mitigate any risk to insulin function?

This article states that nicotine gum decreases your body's insulin effectiveness... am I reading that right? Does this mean I am at a greater risk of developing diabetes if I use nicotine gum at the low dosages I am? https://www.ahajournals.org/doi/10.1161/01.cir.94.5.878

I have had no side effects thus far and it is helping (possibly placebo...) with my ADHD. The additional serotonin of drugs like Ritalin/Vyvanse made coming off of them brutal in terms of depression.

I am not prescribed nicotine gum for ADHD, it was just something I read about online 2 years back when I was struggling severing with ADHD at the beginning of graduate school.