Diabetics should not smoke The health hazards of cigarette smoking in the general population are well-known. In patients with diabetes mellitus, smoking causes a substantial increase in risk for both macrovascular (cholesterol deposition) and microvascular (eye, kidney involvement) disease, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA. The HCFI has released a few guidelines in this regard. Smoking is an independent risk factor for all-cause mortality, largely due to cardiovascular disease. There is a dose-response relationship between current smoking status and risk of coronary disease in women with diabetes. The risk is 1.7 and 2.68 for 1 to 14 and >15 cigarettes per day, respectively. The risk returns to baseline in those who have stopped smoking for more than 10 years. The risk of mortality in diabetic women also increases with the number of cigarettes smoked per day. The risk is 1.4 and 2.1 for 1 to 14 and >35 cigarettes/day, respectively. The risk decreases substantially 10 years after quitting smoking (risk 1.1) Smoking is associated with increases in the levels of total cholesterol and very-low-density lipoprotein cholesterol, a decrease in serum high-density-lipoprotein cholesterol levels and a greater degree of insulin resistance Smokers, via an uncertain mechanism, have poorer glycemic control. In patients with type 1 diabetes, smoking is independently associated with an increase in urinary albumin excretion and nonproliferative retinopathy; the degree of albuminuria falls to the level of nonsmokers if smoking is discontinued. Smokers with either type 1 or type 2 diabetes are at increased risk for neuropathy, an effect that persists after adjusting for glycemic control. Smoking is associated with an increased risk of end-stage renal disease and with decreased survival once dialysis is commenced. About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 54572 people since 1st November 2012. The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”
Posted on: Sat, 15 Jun 2013 05:56:16 +0000
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