Association between smoking/smoking cessation and glycemic control in male patients with type2 diabetes
10.3760/cma.j.issn.0254-6450.2017.11.003
- VernacularTitle:吸烟和戒烟行为与男性2型糖尿病血糖控制关系的研究
- Author:
Jian SU
1
,
2
;
Yu QIN
;
Chong SHEN
;
Yan GAO
;
Enchun PAN
;
Xiaoqun PAN
;
Ran TAO
;
Yongqing ZHANG
;
Ming WU
Author Information
1. 210096南京,东南大学公共卫生学院
2. 210009南京,江苏省疾病预防控制中心
- Keywords:
Cigarette smoking;
Smoking cessation;
Type 2 diabetes;
Glycemic control
- From:
Chinese Journal of Epidemiology
2017;38(11):1454-1459
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the association of smoking and smoking cessation with glycemic control in male patients with type 2 diabetes. Methods From December 2013 to January 2014, a total of 7763 male patients with type 2 diabetes, who received national basic public health service in Changshu county of Suzhou city, Huai'an and Qinghe districts of Huai'an city, Jiangsu province, were recruited by cluster sampling. Questionnaire survey and anthropometric measurements were conducted, and fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) levels were measured. Multiple linear regression model was used to evaluate the association of smoking and smoking cessation with glycemic control. Results The prevalence of current smoking was 45.5%in male patients with type 2 diabetes. The levels of FPG and HbA1c increased with number of cigarettes smoked per day compared with non-smokers (P<0.001). Among patients with drug treatment, the average increase of HbA1c level in current smokers with smoking duration ≥30 years and smoking index ≥40 pack-years were 0.27% (95%CI: 0.05%-0.49%) and 0.38% (95%CI: 0.23%-0.53%),respectively. FPG and HbA1c level decreased obviously with smoking cessation years among former smokers (P<0.05). Among the patients receiving no drug treatment, no dose-response relationships were observed between smoking duration, smoking cessation years and levels of FPG and HbA1c. Conclusion Cigarette smoking was negatively related with glycemic control in male type 2 diabetes patients, especially in patients with drug treatment. Smoking cessation may be beneficial for glycemic control. Smoking cessation should be encouraged for diabetes patients as early as possible.
