The association of smoking status with glycemic control, metabolic profile and diabetic complications- Results of the Australian National Diabetes Audit (ANDA).

Journal of Diabetes and Its Complications
N SzwarcbardSophia Zoungas

Abstract

Tobacco smoking and diabetes mellitus contribute significantly to the overall health burden and mortality of Australians. We aimed to assess the relationship of smoking with glycemic control, metabolic profile and complications in Australian patients living with diabetes. We analysed the 2011-2017 biennial Australian National Diabetes Audit cross-sectional data. Patients were classified as current, past or never smokers. Linear (or quantile) and logistic regression models were used to assess for associations. Data from 15,352 patients were analysed, including 72.2% with type 2 diabetes. Current smokers comprised 13.5% of the study population. Current and past smokers had a median HbA1c that was 0.49% and 0.14% higher than never smokers, respectively, as well as higher triglyceride and lower HDL levels (all p values < .0001). Compared to never smokers, current smokers had higher odds of severe hypoglycemia and current and past smokers had higher odds of myocardial infarction, stroke, peripheral vascular disease, lower limb amputation, erectile dysfunction and peripheral neuropathy (all p values ≤.001), with no significant change over time. When compared to never smokers, current and past smokers had poorer glycemic and lipid con...Continue Reading

Citations

Aug 29, 2020·The International Journal of Lower Extremity Wounds·Ilgin Yildirim SimsirSevki Cetinkalp
May 20, 2021·Journal of Diabetes Science and Technology·Sofianos AndrikopoulosNatalie Wischer
Oct 12, 2020·Biomedical Journal·Cássio Luiz Coutinho Almeida-da-SilvaDavid M Ojcius
Jul 25, 2021·International Journal of Molecular Sciences·Cassio Luiz Coutinho Almeida-da-SilvaDavid M Ojcius
Sep 12, 2020·Current Pharmaceutical Design·Niki KatsikiDimitri P Mikhailidis
Jan 18, 2022·Journal of Advanced Nursing·Sharon Atkinson-BriggsUNKNOWN Centre for Research Excellence in Diabetic Retinopathy Study Group

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