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How Would Smoking Worsen Diabetes Complications?
 

If a person has blood sugar levels higher than normal, this person most probably has diabetes. The body of a diabetic either does not make sufficient insulin or cannot use the insulin effectively. Instead of getting into the cells to use for energy, most of the glucose remains in the blood. Accounting for more than 99 percent of all diabetes cases, Type-2 diabetes can cause long-term complications that include eye disease, kidney disease, heart disease, and nerve disease.

Being bad for everyone, smoking is the leading preventable cause of death in the United States. Every year, more than 480,000 people die because of smoking. Smokers are more likely than nonsmokers to develop heart disease, stroke, and lung cancer. Smoking can also lead to other disorders including stroke, hardening of the arteries (atherosclerosis), and high blood pressure.

Cigarette smoking has been known to be a risk factor of Type-2 diabetes. A study that was published in the American Journal of Epidemiology pointed out that smoking 16 to 25 cigarettes a day raises the risk for Type 2 diabetes to 3 times that of a non-smoker. Moreover, diabetics who also smoke are more likely than nonsmokers to have trouble with insulin dosing and with controlling their disease. In other words, the more cigarettes one smokes, the higher the risk for Type-2 diabetes.

According to a new study that was published online August 26, 2015 in the journal ‘Circulation’, people who have Type-2 diabetes and also smoke have significantly higher risks of heart disease, stroke and death than diabetic non-smokers. These people also had higher risks of clogged arteries, heart failure, and reduced blood flow to the limbs. The findings also indicated that the risks were lower for diabetics who quit smoking, though still moderately higher than risks among never smokers.

Researchers from Huazhong University of Science and Technology, Wuhan, Hubei Province, China, National University of Singapore and other institutions intended to find out whether smoking is associated with cardiovascular events and total mortality among diabetic patients and whether quitting the habit would reduce the risks. So they looked at the data from 89 earlier studies of smoking among adults who had Type-2 diabetes.

Their analysis showed that diabetic smokers were about 1.5 times more likely to experience clogged arteries, stroke, overall heart disease and heart failure. Furthermore, smokers were more than twice as likely to suffer from peripheral artery disease or reduced blood flow to the limbs, than those who did not smoke. Former smokers, on the other hand, had 1.2 times the risk of clogged arteries and 1.1 times the risk of overall heart disease, compared to never-smokers.

On the basis of risk estimates from their review and the rates of deaths from diabetes worldwide, the researchers found that smoking accounted for 14.6 percent of deaths in diabetic men and 3.3 percent of deaths in diabetic women globally.

Despite efforts to discourage smoking, up to 20 percent of diabetic patients are still smokers. Part of the problem may be the care diabetes patients receive. Doctors monitoring diabetic patients might just focus on cardiovascular risk factors or diabetes complications, and diet and weight control, but neglect smoking as another important risk factor.

While active smoking is linked to significantly higher risks of total mortality and cardiovascular events among diabetic patients, smoking cessation might just reduce the risks in comparison with current smoking. The new findings did offer strong evidence to urge diabetic patients to quit smoking.

Some smokers might be reluctant to quit because of concerns about gaining weight in the short term. But researchers assured that the long-term benefits clearly overweigh the short-term side effects, and they also advised diabetic patients who are smokers to seek professional help to quit smoking.

 

 

 

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