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Cigarette Smoking, Diabetes, and Diabetes Complications: Call for Urgent Action

  • Lifestyle Management to Reduce Diabetes/Cardiovascular Risk (B Conway and H Keenan, Section Editors)
  • Published:
Current Diabetes Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review aimed to examine the latest evidence linking cigarette smoking and cessation to risk of incident diabetes and its complications.

Recent Findings

Abundant evidence has demonstrated that smoking is associated with increased risk of type 2 diabetes and cardiovascular disease among diabetic patients, while its relationship with microvascular complications is more limited to diabetic nephropathy and neuropathy in type 1 diabetes. In addition, diabetes risk remains high in the short term after smoking cessation, while it reduces gradually in the long term. Risk of cardiovascular complications also substantially decreases after quitting smoking, but results for microvascular complications are not consistent.

Summary

Smoking is associated with increased risks of incident diabetes in the general population and cardiovascular complications among diabetic patients. Although the short-term post-cessation diabetes risk needs to be acknowledged, this review calls for urgent action to implement population-wide policies and individual pharmaceutical and lifestyle interventions (if evidence accumulated in future) to aid smoking cessation and prevent diabetes and its complications.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Epidemiology and Biostatistics, West China School of Public Health, Sichuan University, Chengdu, Sichuan, China

    Ping Zhu

  2. Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Rd, Wuhan, 430030, China

    Xiong-Fei Pan, Liting Sheng, Henggui Chen & An Pan

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  1. Ping Zhu
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  2. Xiong-Fei Pan
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  3. Liting Sheng
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  4. Henggui Chen
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  5. An Pan
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Correspondence to An Pan.

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Ping Zhu, Xiong-Fei Pan, Liting Sheng, Henggui Chen, and An Pan declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Lifestyle Management to Reduce Diabetes/Cardiovascular Risk

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Zhu, P., Pan, XF., Sheng, L. et al. Cigarette Smoking, Diabetes, and Diabetes Complications: Call for Urgent Action. Curr Diab Rep 17, 78 (2017). https://doi.org/10.1007/s11892-017-0903-2

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