Smoking cessation and glycemic control among type 2 diabetes patients in primary care, Bangkok, Thailand
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The 67th Public Health Center, Health Department, Bangkok Metropolitan Administration, Bangkok, Thailand
Publication date: 2021-09-02
Corresponding author
Suthee Saritsiri   

Bangkok Metropolitan Administration, Bangkok, Thailand
Tob. Induc. Dis. 2021;19(Suppl 1):A209
Smoking cessation is the target of diabetes control. In 2018, there are 418 diabetes patients classified to 360 non-smokers, 32 ex-smokers and 26 current-smokers. For 26 current-smokers received 5 A's: Ask, Advise, Assess, Assist, and Arrange intervention by healthcare team followed after smoking cessation in 1 year.

To compare health outcome change after smoking cessation in 1 year.

This study was a prospective cohort design and compared between patients who ceased smoking, continued not to smoke at 1 year and patients who continued smoking. The study conducted between year 2018 and 2019 by examined body weight, body mass index, waist circumference, capillary blood glucose, fasting blood sugar, HbA1c, blood pressure, LDL-cholesterol and eGFR in 26 smokers.

25 smokers who completed data were enrolled in study (mean age 57.88 yrs, smoke duration 26.60 yrs and amount of cigarette 9.32 rolls). There are 7 patients who ceased smoking and continued not to smoke at 1 year (mean age 57.43 yrs). 18 patients who continued smoking (mean age 58.06 years). When compared mean of health outcomes change in 1 year between patients who ceased and continued smoking, found that both groups increased in body weight (0.84, 0.69 kg), body mass index (0.24, 0.21 kg/m2), waist circumference (2.29, 0.78 cm.), LDL-cholesterol (1.43, 6.61 mg/dL) and eGFR (6.43, 5.28 ml/min/1.73m2) and decreased in systolic blood pressure (0.14, 2.50 mmHg), diastolic blood pressure (1.86, 2.83 mmHg) and HbA1c (0.79, 0.41%). For fasting blood sugar only increased in current-smokers are 0.39 mg/dL. The capillary blood glucose only decreased in current-smokers is 4.17 mg/dL. Most of 7 patients who quit smoking had body weight increased in 1 month. 5 patients decreased HbA1c 1 year after quitting smoking and 2 patients increased (6.5 to 7.5 and 7.0 to 7.1 %).

Healthcare team should provide diabetes patients for smoking cessation.

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