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Diabetes mellitus patients and smoking in Romania FREE TO VIEW

Florin D. Mihaltan; Cristina Vladulescu
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The National Institute of Pneumology - Marius Nasta, Bucharest, Romania


Chest. 2003;124(4_MeetingAbstracts):229S. doi:10.1378/chest.124.4_MeetingAbstracts.229S-b
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PURPOSE:  Our study was trying to find out the impact of diabetes mellitus on the smoking habit.

METHODS:  The study was made for 100 patients ( between 18-85 years old , 68% men ) with diabetes mellitus type 1 and 2 , treated with insulin and antidiabetic oral drugs .We have used patients charts and a questionnaire with 33 questions about general smoking epidemiology .

RESULTS:  We found 1/4 smokers (72% men and 28% women) and 28% ex smokers; 46% of smokers began smoking . The prevalence of diabetes mellitus treated with insulin was of 76% to smokers and 44% of smokers and 28% of ex smokers had an evolution of diabetes under 5 years . From smokers and ex smokers sample 80% and 78% thought that smoking has influenced their disease and evolution ; they have not received any aid for quit smoking from their. Their attitude concerning smoking in working places is also surprising ( 52% of smokers and 28,5% of ex smokers are accepting smoking to working places). In the last time 56% of smokers, 32% of ex smokers, 17% of non smokers have had to increase insulin doses and 20% of smokers, 7,1% of ex smokers and 19% of non smokers have had to change oral antidiabetic drugs to insulin therapy. The percentage of complications was: mixed neuropathy to 70% of smokers and 68% of non smokers, peripheral arteriopathy to 32% and 10,4%,ischemic heart disease to 44% and 35,4%, nephropathy to 48% and 14,5% and retinopathy to 40% and 46%. When they find out the first complication 92% of smokers have smoked as much as the beginning .CONCLUSIONS: Some complications rate in smokers with diabetes mellitus are very high and the complications have appeared earlier.

CLINICAL IMPLICATIONS:  Smoking is a risk factor for this sample of patients neglected by them and doctors. We need more educational actions to this kind of patients.

DISCLOSURE:  F.D. Mihaltan, None.

Wednesday, October 29, 2003

12:30 PM - 2:00 PM




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