1 / 13

Diabetic Control and Smoking

Diabetic Control and Smoking. - Christopher Laylan Student, UW-Madison Madison, WI  - Rodney Erickson, MD Mayo Clinic Health System-Tomah Tomah, WI  -Richard Erickson, MS Texas Tech University Lubbock, TX. Introduction.

noe
Download Presentation

Diabetic Control and Smoking

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Diabetic Control and Smoking - Christopher Laylan Student, UW-Madison Madison, WI  - Rodney Erickson, MD Mayo Clinic Health System-Tomah Tomah, WI  -Richard Erickson, MS Texas Tech University Lubbock, TX

  2. Introduction • Tobacco use and diabetes are risk factors for the development and progression of atherosclerotic vascular disease and the associated increase in morbidity and mortality • Diabetes on the increase • Expected to raise 165% by 2050 (6) • Smoking is on the decline…right? • Yes, among the general population • No, among age group 18-24 (8) • Smoking at this age leads to more smoking in future (8) • However, smoking at this age is partly due to “social smoking”

  3. Earlier Studies • Smoking accelerates onset of diabetes mellitus (1) • meta-analysis in 2007 reported that smokers had a 1.4 higher relative risk of developing diabetes compared to nonsmokers. • 1995 European study found smokers had higher average glycosolatedhemoglobins (A1C) than non-smokers for those with Type 1 diabetes. • No reports of the effect of tobacco use on glycemic control among those diagnosed with Type II diabetes

  4. Our study • Our study looks at the relationship between tobacco use and glycemic control among patients with diabetes, type 1 and 2. • Do diabetics who smoke have worse glycemic control?

  5. Why?? • Physiological • Smoking raises blood glucose (7) • Socio-Economical Position (SEP) • People of lower SEP more likely to smoke (3) • Less exercise (5) • Poor eating habits due to decreased knowledge (6) • Less health care

  6. Methods • Accessed diabetic patient records from 5 clinics in Wisconsin • Total of 1,963 charts • Observed 4 tests for determining diabetic control of smokers and non-smokers • Hba1c (main test we observed) • Blood Pressure • LDL • Aspirin use

  7. Methods (Cont’d) • Test standards • Hba1c greater than or equal to 8% • BP < 140 / 90 mmHGg • LDL < 100 dL • Aspirin use = yes or no

  8. Results • Hba1c Results • non-smokers: mean of 7.27% • Total of 1,606 • smokers: mean of 7.56% • Total of 349 • BP Results • Non-Smoker • High = 357 (22.5%) • Low = 1,231 (77.5%) • Smoker • High = 111 (31.8%) • Low = 238 (68.2%)

  9. Results (cont’d) • LDL Results • Total of 1,866 • Non-Smokers • High = 264 (17.2%) • Low = 1,268 (82.8%) • Smokers • High = 105 (32.5%) • Low = 218 (67.5%) • Aspirin Result • Total of 1,890 • Non-Smokers • no = 67 (4.3%) • yes = 1,485 (95.7%) • Smokers • No = 19 (5.6%) • Yes = 318 (94.4%)

  10. Hba1c Results (everyone)

  11. Hba1c Results (Site 1-5)

  12. Conclusion • This study shows that diabetic nicotine users are 1.4 times more likely to have Hba1c values greater than the goal of 8% compared to diabetic non-nicotine users. • This study needs to confirmed on larger number of clinics

  13. Bibliography • (1) Will, JC. (2000, September 05). Cigarette smoking and diabetes mellitus; evidence of a positive association from a large prospective cohort study. Retrieved from http://ije.oxfordjournals.org/content/30/3/540.full.pdf+html • (2) Power, C. (2004, October 28). The contribution of childhood and adult socioeconomic position to adult obesity and smoking behaviour: an international comparison. Retrieved from http://ije.oxfordjournals.org/content/34/2/335.short • (3) Lantz, PM, PhD. (1998, June 03).Socioeconomic factors, health behaviors, and mortality results from a nationally representative prospective study of us adults. Retrieved from http://jama.ama-assn.org/content/279/21/1703.full.pdf+html • (4) Boule, MG, MA. (2001, September 12).Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus. Retrieved from http://jama.ama-assn.org/content/286/10/1218.short • (5) Conway, TL, Ph.D. (1992, November).Smoking, exercise, and physical fitness. Retrieved from http://www.sciencedirect.com/science/article/pii/009174359290079W • (6) Boyle, JP, PhD. (2001, November).Projection of diabetes burden through 2050 impact of changing demography and disease prevalence in the u.s.. Retrieved from http://care.diabetesjournals.org/content/24/11/1936.short • (7) Wechsler, H, PhD. (1998, November 18).Increased levels of cigarette use among college students a cause for national concern. Retrieved from http://jama.ama-assn.org/content/280/19/1673.full.pdf+html • (8) Moran, S, MD, MSCE. (2004, October 01).Social smoking among us college students . Retrieved from http://pediatrics.aappublications.org/content/114/4/1028.full • (9) Wikstrom, K. (2010, November 18). Socio-economic differences in dysglycemia and lifestyle-related risk factors in the finnish middle-aged population. Retrieved from http://eurpub.oxfordjournals.org/content/early/2010/11/18/eurpub.ckq164.abstract • (10) Smith, BT. (2011, January 17). Life-course socioeconomic position and type 2 diabetes mellitus the framingham offspring study. Retrieved from http://aje.oxfordjournals.org/content/173/4/438.abstract • (11) Zhang, L, MD. (2011, February 25).Association between passive and active smoking and incident type 2 diabetes in women. Retrieved from http://care.diabetesjournals.org/content/34/4/892.abstract

More Related