Diabetics see Temporary Reduction in Blood Sugar Control When They Stop Smoking

by Barbara Hewitt on May 7, 2015

People with type 2 diabetes are likely to see a temporary deterioration in their blood glucose control when they give up smoking, a new study has found.

This deterioration in glycaemic control which could last up to three years, according to the research led by Dr Deborah Lycett of the Faculty of Health and Life Sciences at Coventry University in the UK.

SmokingThe researchers looked at primary health care records of 10,692 adult smokers with type 2 diabetes over six years to investigate whether or not quitting smoking was associated with altered diabetes control.

The study found that in the 3,131 or 29% of those who quit and remained abstinent for at least one year, HbA1c, which is an average measurement indicating how well the body is controlling blood glucose levels, increased by 2.3mmol/mol (0.21%) before decreasing gradually as abstinence continued.

In the same period, 5,831 or 55% of continual smokers who did not change their smoking status during the study experienced a more gradual increase in HbA1c, such that HbA1c levels in quitters became comparable with the levels seen in continual smokers three years after quitting.

The researchers used a regression model which examined each cohort with and without weight change data, concluding that weight changes often associated with quitting smoking did not significantly alter the association between smoking cessation and HbA1c levels.

Previous research has shown that a 1% (11mmol/mol) reduction in the HbA1c level of someone with diabetes will result in them being 16% less likely to suffer heart failure and 37% less likely to experience microvascular complications, indicating the significance of small percentage changes in HbA1c levels.

‘Knowing that deterioration in blood glucose control occurs around the time of stopping smoking helps to prepare those with diabetes and their clinicians to be proactive in tightening their glycaemic control during this time,’ said Lycett.

‘Stopping smoking is crucial for preventing complications that lead to early death in those with diabetes. So people with diabetes should continue to make every effort to stop smoking, and at the same time they should expect to take extra care to keep their blood glucose well controlled and maximise the benefits of smoking cessation,’ she added.

 


The opinions expressed in this article do not necessarily reflect the views of the DiabetesForum.com Community and should not be interpreted as medical advice. Please see your doctor before making any changes to your diabetes management plan.

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