Tobacco

There is evidence for increased risk of developing type 2 diabetes among cigarette smokers.
In addition, smoking-associated health risks can exacerbate major conditions that precede
or accompany diabetes, such as cardiovascular and kidney diseases. Smoking cessation can
result in weight gain and a short-term worsening of some diabetic symptoms that may deter
smokers with diabetes from attempting to quit. Additionally, there is limited evidence
regarding the efficacy/safety of smoking cessation pharmacotherapies in this population
and the general effects of smoking cessation, particularly for type 1 diabetes. Smoking
cessation in diabetes therefore remains a highly relevant subject for further research.

Journal: Diabetes Research and Clinical Practice 85 (2009) 4–1 3.

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A Prospective Study Investigating the Association Between Environmental Tobacco Smoke Exposure and the Incidence of Type 2 Diabetes in Never Smokers

ABSTRACT:

PURPOSE: We studied a cohort of individuals to assess whether intensity of environmental tobacco
smoke (ETS) exposure is associated with the incidence of type 2 diabetes.

METHODS: Study subjects were selected from an ongoing population-based cohort of Korea Genome
and Epidemiology Study. Participants of the baseline study 10,038 persons within the age range of 40 to
69 years old. Among 4,442 never smokers without prevalent diabetes, 465 type 2 diabetes cases were identified
through biennial active follow-ups for a 6-year period. Cox proportional hazard models were used to
estimate the hazard ratio (HR) and 95% confidence intervals (CI) after adjustment for covariates.

RESULTS: The risk of type 2 diabetes was higher in subjects exposed to ETS compared with the nonexposure
group (HRZ1.41, 95% CI: 1.1–1.70). Daily exposure to ETS at home increased the risk of type 2
diabetes when compared with the risk level of nonexposure (HRZ1.46, 95% CI: 1.16–1.83). Over 4 hours
exposure to ETS at home and in the workplace was associated with increased the risk of type 2 diabetes
(HR Z 1.96, 95% CI: 1.21–3.19).

CONCLUSIONS: Our study suggests that ETS exposure is a significant risk factor for the development of
type 2 diabetes with dose-response relationship.

PDF file attached below.

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PA Medical Society Features PA cAARds in the June Issue of Counter Details!

The PA cARRds! campaign is highlighted in the new Counter Details newsletter published by the PA Medical Society. “The Effects of Smoking on Type 2 Diabetes Mellitus”. PDF file attached below.