Impact of stopping smoking on metabolic parameters in diabetes mellitus:A scoping review  

作　　者：Magdalena Walicka Cristina Russo Michael Baxter Isaac John Grazia Caci Riccardo Polosa 

机构地区：[1]Department of Human Epigenetics,Mossakowski Medical Research Institute,Polish Academy of Sciences,Warsaw 02-106,Poland [2]Department of Internal Diseases,Endocrinology and Diabetology,Central Clinical Hospital of the Ministry of Interior and Administration in Warsaw,Warsaw 02-507,Poland [3]Department of Clinical and Experimental Medicine,University of Catania,Catania 95123,Italy [4]Ashford and Saint Peter's Hospitals NHS Foundation Trust,Chertsey KT160PZ,United Kingdom [5]Department of Clinical and Experimental Medicine,University of Messina,Messina 98124,Italy [6]Center of Excellence for The Acceleration of HArm Reduction(CoEHAR),University of Catania,Cataia 95123,Italy [7]Centre for The Prevention and Treatment of Tobacco Addiction(CPCT),Teaching Hospital"Policlinico-V.Emanuele",Catania 95123,Italy [8]ECLAT Srl,Spin-off of the University of Catania,Catania 95123,Italy

出　　处：《World Journal of Diabetes》2022年第6期422-433,共12页世界糖尿病杂志（英文版）（电子版）

基　　金：Department of Clinical and Experimental Medicine of the University of Catania,No.6C813202024/1_3_02_07_01/2020。

摘　　要：The purpose of this scoping review is to create a single narrative that describes the impact of smoking cessation on metabolic parameters in people with diabetes.It is generally well accepted that smoking enhances the harmful effects of elevated blood glucose levels,accelerating the vascular damage seen in patients with diabetes.Smoking cessation has clear benefits in terms of reducing cardiovascular morbidity and mortality.However,there is less evidence for the impact of smoking cessation on other diabetes-related complications.Studies in people with diabetes have shown improvement as well as temporary deterioration in glycemic control after ceasing smoking.Only a few studies have described the effect of quitting smoking on insulin resistance and lipid parameters,however,their results have been inconclusive.In this situation,healthcare professionals should not assume that cessation of smoking will improve metabolic parameters in patients with diabetes.It seems they should, first of all, emphasize the prevention of weight gain that may be associatedwith quitting smoking. The lack of data regarding the metabolic effects of smoking and smokingcessation in diabetes is very disappointing and this area needs to be addressed.

关 键 词：SMOKING Smoking cessation DIABETES Insulin resistance GLUCOSE LIPIDS 

分 类 号：R587.1[医药卫生—内分泌] R163[医药卫生—内科学]