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Diabetes and Smoking

Although tobacco products are harmful for everyone, tobacco products that are smoked are particularly dangerous for diabetics, who are already at risk for cardiovascular disease. If you're a diabetic who has smoked, no matter how long, you can improve your health by quitting. November is American Diabetes month. Click here to read about community events on the American Diabetes Association website.

Smoking and diabetes are a dangerous combination. Smoking raises your risk for diabetes problems. If you quit smoking, you’ll lower your risk for heart attack, stroke, nerve disease, and kidney disease. Your cholesterol and your blood pressure levels may improve. Your blood circulation will also improve. Smokefree.gov provides free, accurate, evidence-based information and professional assistance to help support the immediate and long-term needs of people trying to quit smoking.

Secondhand smoke has also been shown as a risk factor for diabetes. If you're a diabetic, you should avoid contact with smoke. Click here to read the article from the NewScientist website.

Speak to your health practitioner about quitting smoking. If not for you, for a loved one. The New Jersey Department of Health and Senior Services offers support services for quitting. Click here to visit their website and learn more.

The American Diabetes Association (ADA) lists the reasons why diabetics who smoke have a greater mortality rate as:

  • Smoking decreases oxygen in the tissues, which can lead to a heart attack or stroke.
  • Smoking increases cholesterol and blood pressure, which raises your risk of heart attack.
  • Smoking constricts and damages blood vessels, which can make foot ulcers worse.
  • Smoking increases your risk of damage to the nerves and kidneys.
  • Smoking increases your risk of colds and other respiratory illnesses.
  • Smoking increases blood sugar levels.
  • Smoking triples your risk of death from cardiovascular disease, compared to diabetics who don't smoke.

Click here for more detailed information from the ADA about diabetes risks associated with smoking. To read a May, 2009 study about the risks these hazards pose for a diabetic, click here.

Supporting Material

Click here for a May, 2009 presentation given by Heather Dacus, DO, MPH, Director, Bureau of Chronic Disease Control for the New York State Department of Health. Dr. Dacus describes the prevalence of smoking in the population of individuals with diabetes and gives recommendations on how to integrate treatment of tobacco dependence as a routine component of diabetes care.

Links to Studies

The April 6, 2010 issue of the European Journal of Epidemiology reported a 7-year German study which concluded that active smoking is a risk factor for developing type 2 diabetes, for patients between the ages of 55-74. Active smoking had a statistically significant effect on diabetes incidence.

The November 2009 issue of Diabetic Medicine published a study that chronic secondhand smoke exposure significantly increases the risk for Type 2 diabetes, according to a study of Greek and Cypriot elderly men and women. 1190 elderly men and women aged 65 years, from several Greek and Cypriot islands in the Mediterranean during 2005–2007, participated in the study. "Chronic exposure to secondhand smoke significantly increased the likelihood of having Type 2 diabetes by 63%. Each year of exposure to secondhand smoke was associated with a 2% increased chance of developing the condition after controlling for confounders," as reported by MedWireNews.

Click here to read a study done at Purdue University and published in the March 18, 2008 Toxicological Sciences journal which connects nicotine use with type 2 diabetes; causal effects during pregnancy; diabetes combined with heart and vascular disease, and includes the use of nicotine replacement products in the presence of disease.

Click here to read a study from December 12, 2007 which concludes active smoking is associated with an increased risk of type 2 diabetes.

Click here to see this 2007 study published by the American Diabetes Association highlighting the disparity in care between diabetic smokers and diabetic non-smokers.

Click here to read an early study from February, 1993 published in the American Journal of Public Health linking an increased risk for diabetes in women who smoke, identifying it as a targeted lifestyle change for diabetes prevention.

U.S. Centers for Disease Control's Tobacco-Related Diabetes Integration Project

In 2009, the New Jersey State Department of Health and Human Services' Comprehensive Tobacco Control Program (CTCP) and its Chronic Disease Prevention and Control (CDPC), partnered to form the Centers for Disease Control's Tobacco-Diabetes Integration Project, under the CDC's Collaborative Chronic Disease, Health Promotion, and Surveillance Project. GASP is a Project Partner, providing resource information on tobacco prevention and diabetes, and offering advocacy training modules on tobacco control advocacy, to diabetes prevention partners. Our NJ-based CDC partners on the Project include:

American Cancer Society
www.cancer.org
Jason Plaia, 732-914-1000
jason.plaia@cancer.org

Mom's Quit Connection
www.snjpc.org
Merle Weitz, 856-675-5322 mweitz@snjpc.org
Cathy Butler, 856-675-5289 cbutler@snjpc.org

Atlantic Prevention Resources
www.atlprev.org
Dr. Robert Zlotnick, CEO ceo@atlprev.org
Kimberly Burns, 609-272-0964
atlanticctpfnj@aol.com

Robert Wood Johnson Medical School - UMDNJ
Marc Steinberg, PhD marc.steinberg@umdnj.edu
Donna Drummond, MS, LPC drummodl@umdnj.edu

732-235-4341

Center for Prevention & Counseling
www.centerforprevention.org
Cindy Meakem, CHES, 973-383-4787
cindy@centerforprevention.org

Vineland Health Department
www.vldhealth.org/Health%20Education.htm
Emma Lopez, 856-794-4261 x4709
elopez@vinelandcity.org

Two state laws establish diabetes awareness programs in New Jersey:

  • NJSA 26:2-138 through 142: Establishes the Diabetes Control Program within the NJ State Department of Health, to minimize the incidence of death and disability so often attributed to diabetes.

  • NSA 26:2-160 through 167.3: Establishes the New Jersey Office on Minority and Multicultural Health, renamed from the New Jersey Office on Minority Health, which shall seek to address minority racial and ethnic health concerns, and reduce disparities in the incidence of cancer, cardiovascular disease and stroke, chemical dependency, diabetes, asthma, homicide, suicide, accidental injury, infant mortality, child immunization rates and HIV/AIDS; with the ultimate goal of enabling all members of racial and ethnic minority populations in this State to have access to high-quality health care.

New Jersey Diabetes Informational Websites

Diabetes Prevention and Control Program
P.O. Box 364
Trenton NJ 08625-0364
Phone: 609-984-6137
Fax: 609-292-9288

A subdivision of Family Health Services, the program offers general information, statistics, and data about diabetes.

Garden State Association of Diabetes Educators
contact:Nancy Rhodes, RN, BS, MA, CDE

Phone: 609-448-5063

Gives a list of the diabetes education programs in New Jersey that the American Diabetes Association recognizes as meeting National Standards of Excellence.

New Jersey State-funded Cessation Services:

Privately Funded Cessation Services Available in New Jersey:

Learn about becoming a certified tobacco treatment specialist through the UMDNJ School of Public Health Tobacco Training Program.

Diabetes Informational Websites

California Diabetes Program
PO Box 997377, MS 7211
Sacramento, CA 95899-7377
Phone: 916-552-9888

California's "Do you cAARd" campaign to join Diabetes educators with smoker's hotline to assist diabetes patients to quit smoking. Caard stands for ask, advise, refer. Toolkits, cards, etc.

Indiana State Department of Health Diabetes Prevention and Control Program, Chronic Disease
2 N. Meridian Street, 6 B
Indianapolis, IN 46204
Phone: 317-233-7634

Developed a smoking and diabetes fact sheet in February, 2009. Click here to get see the fact sheet.

New York State Smokers' Quitline
1-866- NY-QUITS

Downloadable fact-sheets on various smoking related topics. Click here to get the diabetes-related one.

Rhode Island State Dept of Health Diabetes Prevention and Control Program
3 Capitol Hill, Room 408
Providence, RI 02908
Phone:401-222-6957

Has the DIRES Program (Diabetes Information and Referral and Education Specialist). Click here to see their downloadable brochure on smoking and diabetes.

Federal websites

American Diabetes Association
ATTN: National Call Center
1701 North Beauregard Street
Alexandria , VA 22311
T: 1-800-DIABETES [1-800-342-2382]

Association offers explanations about all types of diabetes, nutrition advice and recipes, tips on weight loss and exercise, research outcomes, advocacy opportunities, information specifically to health professionals, and newsletters.

Department of Health and Human Services Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)

4770 Buford Hwy, NE
MS K-40
Atlanta, GA 30341-3717

Good source of general diabetes control and management information, but no references to smoking.
National Diabetes Education Program
1 Diabetes Way
Bethesda , MD 20814-9692
Phone: 301-496-3583
Sponsored by the federal government, NDEP provides information and resources for medical professionals and clients of all ages about diabetes screening, treatment, and prevention.

National Diabetes Information Clearinghouse
1 Information Way
Bethesda, MD 20892–3560
Phone: 1–800–860–8747

Tips for keeping diabetes under control once you have it including quitting smoking. There are useful literature and handouts available from the homepage.

Smokefree.gov was created by the Tobacco Control Research Branch of the National Cancer Institute and is a collarborative site with other institutions. Visit the website for more information.

Provides free, accurate, evidence-based information and professional assistance to help support the immediate and long-term needs of people trying to quit smoking.


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updated August 24, 2010

This information is created by the Tobacco Control Policy and Legal Resource Center of New Jersey GASP, which provides expert information, guidance, and technical assistance about policy, legislation, and litigation, especially regarding smokefree air. Major funding for this service is provided by the New Jersey Department of Health and Senior Services (NJ DHSS).The information presented on this website is not intended as, nor to be construed, or used, as legal advice, and should not be used to replace the advice of your legal counsel.