Active and Passive Smoking Linked to Increased Risk of Diabetes
World Diabetes Day Sheds Light on the Risks of Tobacco Use
As the world observes “World Diabetes Day” on November 14th, this year’s theme “Understanding the risks, understanding the responses” highlights the pressing need to prevent and delay the onset of type 2 diabetes. Research has shown that both active smoking and exposure to secondhand smoke can significantly increase the risk of diabetes. The risk becomes even greater with higher levels of cigarette consumption and longer durations of smoking.
According to Li Jianhong, a researcher and head of the Office of Metabolic Disease Prevention and Control at the Chronic Disease Center of the Chinese Center for Disease Control and Prevention, the situation of diabetes prevention and treatment in China is concerning. The International Diabetes Federation reports that the global number of adult diabetes patients is projected to reach 537 million in 2021, with China having the largest total number of patients at approximately 140 million. The incidence of type 2 diabetes in China has been steadily increasing since 1979, with no signs of plateau or decline in the short term. This surge in diabetes cases has also resulted in a significant economic burden, with the total cost of diabetes in China expected to rise from US$250.2 billion to US$460.4 billion between 2020 and 2030.
Despite the gravity of the disease burden and economic impact, diabetes awareness, treatment, and control rates in China remain low. The 2018 China Chronic Disease and Risk Factor Monitoring Results indicate that the diabetes awareness rate among adults in China is only 38.0%, with a treatment rate of 34.1%, highlighting a substantial disparity compared to developed countries.
To address this pressing issue, Li Jianhong stresses the need for a collaborative effort within the medical and health system to establish an effective mechanism for medical integration, prevention, and coordination.
In July 2019, the State Council of China issued the “Opinion on the Implementation of the Healthy China Action,” outlining 15 special actions to be implemented. The fourth special action focuses on tobacco control measures, aiming to achieve a comprehensive smoke-free law protection rate of 30% by 2022 and 80% by 2030, as well as reducing the adult smoking rate to less than 20% by 2030. Efforts encompass various sectors, including creating smoke-free environments for minors and emphasizing tobacco control in the process of building hygienic cities. While progress has been made in reducing the adult smoking rate and secondhand smoke exposure, China still grapples with relatively high smoking rates and low awareness of the dangers of tobacco use compared to other countries.
Professor Li Guangwei, chief endocrinologist at the China-Japan Friendship Hospital and head of the endocrinology department at Fuwai Hospital of the Chinese Academy of Medical Sciences, emphasizes the detrimental effects of diabetes on health and quality of life. Individuals with diabetes face an elevated risk of cardiovascular and cerebrovascular diseases as well as cancer, which is compounded by the risks associated with smoking. Quitting smoking not only reduces the risk of diabetes but also mitigates the risk of cardiovascular complications and cancer development for individuals with diabetes.
Original title: Active and passive smoking significantly increase the risk of diabetes
November 14th is “World Diabetes Day” This year’s theme is: “Understanding the risks, understanding the responses”, focusing on preventing and delaying type 2 diabetes. There is evidence that using tobacco and secondhand smoke can cause diabetes, the most of cigarettes smoked and the longer the years smoked, the higher the risk of diabetes.
“As one of the four main chronic diseases, the situation of diabetes prevention and treatment in my country is not optimistic.” Researcher Li Jianhong, head of the Office of Metabolic Disease Prevention and Control of the Chronic Disease Center of the Chinese Center for Disease Control and Prevention, according to the “Global Diabetes Prevention and Control Office 2021” released by the International Diabetes Federation (IDF) is “Diabetes Map” shows that the number of adult diabetes patients worldwide will reach 537 million in 2021, of which China has the largest total number of patients, which is about 140 million. In 2022, the “China Diabetes Map” jointly released by the Chinese Center for Disease Control and Prevention and Beijing Hospital showed that the incidence of type 2 diabetes in my country has shown a general upward trend since 1979 and still at stage A. rapid growth, with no plateau or decline in the short term. On the other hand, the rapid increase in the number of diabetes cases has also caused a huge economic burden. Some scholars estimate that between 2020 and 2030, the total cost of diabetes in my country will increase from US$250.2 billion to US$460.4 billion, with an annual growth rate of 6.32% The total cost of diabetes as a proportion of GDP will also increase. from 1.58% to 1.69% more than the growth rate of China’s economy.
Corresponding to the serious disease burden and economic burden of diabetes, the disease awareness rate, treatment rate, and diabetes control rate in my country are still at a low level. The 2018 China Chronic Disease and Risk Factor Monitoring Results show that the diabetes awareness rate among adults aged 18 and older in my country is only 38.0%, the treatment rate is 34.1%, and the control rate. a big gap with developed countries.
Li Jianhong said that in order to change this situation, the entire medical and health system needs to work together to establish an effective working mechanism for medical integration and prevention and medical coordination and prevention and implement it effectively.
In July 2019, the State Council issued the “Opinion on the Implementation of the Healthy China Action” and formulated 15 special actions. The fourth special action is the implementation of tobacco control measures. The aim is to achieve the proportion of the population protected by comprehensive smoke-free laws by 2022 and 2030. Reaching 30% and above and 80% and above, the adult smoking rate will will decrease to less than 20% in 2030. In order to achieve this goal, all aspects of society are working hard. The “Minor Defense Act” places particular emphasis on creating a smoke-free environment, safe and healthy for minors. In the process of creating a hygienic city, tobacco control efforts are also particularly strengthened. Many local governments have introduced tobacco control policies and vigorously promoted the creation of Chinese smoke-free governments, schools and medical and health institutions. According to monitoring data in recent years, the adult smoking rate and second hand smoke exposure rate in different places has decreased to some extent, however, this is closely related to the global tobacco epidemic. Compared to other countries, the smoking rate in China is still to be at a high level, the rate of decline is lower than the global average, and the awareness rate of information about the dangers of using tobacco is at a relatively low level.
Professor Li Guangwei, chief endocrinologist at the China-Japan Friendship Hospital and head of the endocrinology department at Fuwai Hospital of the Chinese Academy of Medical Sciences, said: “Diabetes greatly damages people’s health, reduces people’s quality of life and shortens life span. People with diabetes face cardiovascular and cerebrovascular diseases and a double risk of more cancer Active and passive smoking significantly increase the risk of diabetes The twin risks of cardiovascular and cerebrovascular diseases and cancer in people with diabetes are made worse by smoking Quitting smoking will not only reduce the risk of diabetes, but also help reduce the risk of diabetes in people with diabetes cardiovascular complications and the development of cancer.”
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