Jan
07

Smokers may be more likely than nonsmokers to develop type 2 diabetes, according to a
new research review.

The review included 25 studies of smoking and diabetes among a million people
ages 16 and older in the U.S., U.K., Europe, Japan, and Israel.

None of those people had type 2 diabetes when the studies started. But more
than 45,000 participants developed type 2 diabetes during the studies, which
lasted for five to 30 years.

The reviewers analyzed all the data and concluded that the chance of
developing type 2 diabetes was 44% higher for smokers than for nonsmokers.

Heavy smokers — people who smoke at least 20 cigarettes per day — were
more likely to develop type 2 diabetes than people who smoke fewer cigarettes
or ex-smokers.

The pattern varied somewhat in its intensity but held for all but one of the
reviewed studies. Still, the studies don’t prove that smoking causes type 2
diabetes.

The reviewers considered some diabetes risk factors, including the fact that
type 2 diabetes becomes more common with age.

But the review doesn’t show whether exercise, social class, or education
affected the results.

The reviewers — who included Carole WIlli, MD, of Switzerland’s University
of Lausanne — report their findings in tomorrow’s edition of The Journal of
the American Medical Association.

The review may be a “conservative underestimate of the true association
between smoking and type 2 diabetes,” states an editorial published with
the study.

Eric Ding, ScD, and Frank Hu, MD, PhD, wrote the editorial. They work at
Harvard School of Public , Harvard Medical School, and Boston’s Brigham
and Women’s Hospital.

 

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