Blood Glucose Control and Smoking in Diabetes

Saturday, 23 July 2016

Nampeth Saibuathong, MEd, APN
Department of Nursing Service, Faculty of Medicine Ramathibodi Hospital, Bangkok, Thailand

Purpose:

 To study the proportion of the smokers in the people with Type 2 diabetes and to compare the blood sugar control and diabetes complications of smokers and former smokers.

Methods:

The cross-sectional descriptive study was conducted in 131 patients with type 2 diabetes aged 15 years old and over who received the services at the Diabetes Clinic, Outpatient Department of Internal Medicine, Ramathibodi Hospital from April 2014 to January 2015. Sample who had history in smoking; divided to 2 groups, the first group was 8 continued smokers, the second group was 51 former smokers who quitted smoking more than a month. Both groups used to consult in nutrition, exercise and blood glucose control.

Results:

The 131 samples, it revealed that they were smokers (6.10%), former smokers (38.93%) and non-smokers (54.96%). All smokers were males, more than 50-year-old (87.5%) and most were diabetes for 1 to 5 years(75%).Former-smokers were both male and female, were more than 50 years old (98.04%) and were diabetes for 6 years old and over(66.56%).HbA1c less than 7 was indicator of good blood glucose control. Both smokers and reform smokers groups were poor blood glucose control. Reform smoker had better blood glucose control are more likely than smokers were 2.3 times as much. Both smoker and former-smoker had diabetic complication, including retinopathy neuropathy and nephropathy, it was not significant difference. 

Conclusion: The people with diabetes who smoked were more likely to have poor bloodsugar control. It is suggested that integrated care for the patients with diabetes should be supported. That is, clear guidelines of the diet control, balance exercises and the assessment of risk behavior are recommended. The smokers should be encouraged to quit smoking and consult with smoking cessation clinic so that the patients can control their blood sugar levels and prevent the complication50 years old (98.04%) and were diabetes for 6 years old and over(66.56%).HbA1c less than 7 was indicator of good blood glucose control. Both smokers and reform smokers groups were poor blood glucose control. Reform smoker had better blood glucose control are more likely than smokers were 2.3 times as much. Both smoker and former-smoker had diabetic complication, including retinopathy neuropathy and nephropathy, it was not significant difference.