Therefore,
Smoking diabetes: dangerous connections:
Smoking is a risk factor that is still too little known in people living with diabetes -. However, even health professionals who treat them – even though it aggravates complications and constitutes the leading cause of mortality in this population. That’s why The French Federation of Diabeticsthe French Diabetes Society (SFD) and the Francophone tobaccoology company (SFT) Unite to. In addition, strengthen the fight against tobacco in this population of patients thanks to new tools.
Smoking increases. In addition, according to recently published metanalysis from 37 to 44% the risk of becoming type 2 diabetic
Smoking increases the risk of becoming diabetic type 2 from 37 to 44%
Is there a link between smoking and that of becoming diabetic? Furthermore, “The message is relatively simple. Furthermore, ” said the Pr Vincent Durlachdoctor specializing in metabolic smoking diabetes: dangerous connections diseases and tobaccoology (CHU de Reims) during a press conference [1].
Smoking increases. In addition, according to recently published metanalysis from 37 to 44% the risk of becoming diabetic type 2, by controlling all other risk factors that expose to diabetes, age, diet, genetic factors, the existence of overweight or abdominal obesity [2,4]». In addition, This data is now robust and well established, it is a dose-dependent.
“The more I smoke. Meanwhile, the higher the risk that my glycemic balance deteriorates, with first an increase in insulinemia, then HB1C, before Patent diabetes appears,” he summarizes.
Many diabetics are smokers
This link establishes, what about the reality of smoking in diabetic patients? Therefore, An average of global data shows that 20.8% of DT2 and between 10 to 39% of type 1 diabetics (DT1) are smokers. Moreover, “It’s considerable,” said the Professor Durlach.
In France, the data updated on the smoking diabetes: dangerous connections basis of Entéd-3, 13.4% of DT2s are smokers as well as a quarter of DT1. Therefore, This corresponds to 410,000 smoking diabetics [5]. Similarly, In terms of profile, studies show that it rather concerns men, young, sedentary, with a low socio-economic level. “It is therefore a major public health issue”.
Smoking at the top of the causes of death in diabetics
How does smoking translate in terms of complications in patients with diabetes (type 1. 2)? Unsurprisingly, by an increase. “The risk of coronary damage (mainly myocardial infarction is increased) by 54% in smoking diabetics compared to non-smokers. ” said the Pr Virgin Brunoendocrinologist, diabetologist, at the Dijon University Hospital. Likewise, the risk of stroke is increased by 44%. Mortality is also affected: overall mortality is increased in 48%smoking diabetic patients, while cardiovascular mortality is 36%. In DT1 patients all vascular complications (microalbuminuria, terminal renal failure, retinopathy) are smoking diabetes: dangerous connections increased in a very significant way.
“Furthermore. smoking in diabetics is associated with a higher risk of cancer, in particular pancreatic, type of hepato-carcinoma and colorectal, and an increase in the risk of infections,” said Professor Vergès.
The risk of depression is also increased.
The question of tobacco is little. not addressed by health professionals who take care of diabetic patients
Consequence: “Against all expectations, smoking comes at the top of the causes of death of diabetics (in this case type 2) [6]“Indicates Professor Durlach, who deplores that smoking is not taken care of in France in 410,000 diabetic patients” with the same degree of concern as glycated hemoglobin, glycemic balance, excess weight or LDL cholesterol “.
Pas proactive health professionals
Are health professionals aware of the deleterious link between smoking and diabetes? Not enough, according to experts. A survey of 225 smoking diabetes: dangerous connections diabetologists of the SFD showed that knowledge of the diabetogenic character of smoking is low among caregivers of diabetes. whether doctors or paramedics [7].
“For example. the link between the degraded glycemic index and smoking is poorly known; Likewise, the availability of caregivers with regard to the management of smoking cessation is limited for reasons related to time and competence, “said Professor Durlach, behind the survey with the PR Ivan Berlin, addictologue (Paris).
An observation shared by Pr Bruno Vergès who confirms that “the question of tobacco is little. not addressed by health professionals who take care of diabetic patients”.
The endocrinologist insists on the need to take into account the psychological profile of each patient. but also his social and relational difficulties when it comes to proposing a weaning. He also advises to use medical and paramedical tobacco specialists and values a multidisciplinary approach including the general practitioner.
smoking diabetes: dangerous connections Experimentation workshops
Faced with these worrying findings. strengthen awareness and support actions, in particular with the most exposed audiences, becomes imperative. This is why. the Federation continues this struggle with a new campaign, supported by the Ministry of Health, aimed at raising awareness of patients with the dangers of tobacco and to support them in their withdrawal approach. After having targeted people at risk of type 2 diabetes. this initiative, carried out in close collaboration as part of a mixed working group Smoking and diabetes Carried by the medical and paramedical SFD, the SFT and the FFD, continues today with people with diabetes and smokers to inform them of the risk they incur and accompany them in smoking cessation, explained Audrey NamurNetwork strategy and prevention manager at FFD.
As such. the French Federation of Diabetics has launched an experiment in six pilot departments (Marne, Bas-Rhin, Alpes-Maritimes, Bouches-du-Rhône, Haute-Garonne, Loire-Atlantique), smoking diabetes: dangerous connections in collaboration with its federated associations. This program offers specific support for people living with diabetes. smokers, through a cycle of two collective workshops, three months apart, followed by a telephone call a month later to strengthen motivation and measure progress. These workshops, co-animated by tobacco-scientists and experts experts, offer a space for exchange and support to encourage smoking cessation.
Tobacco and diabetes: a global concern
“The World Health Organization (WHO) insisted in 2023 on the need to consider this smoking factor, therefore diabetogenic, but above all to take care of smoking cessation in diabetic patients as this level of intervention is strong [8] “Said Professor Durlach. With two strong messages: do not become a smoker if you are at risk of diabetes (primary prevention) and. if you are a smoker and diabetic, stop smoking in a priority way. “This smoking diabetes: dangerous connections is what the caregivers of diabetes must attack,” considered the specialist.
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Smoking diabetes: dangerous connections
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