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Item #2
Fasting
BG Levels Linked With Smoking
Diabetic
patients demonstrate and interaction between level of fasting glycemia,
lung function and any past or present tobacco smoking.
This is the finding of Dr I E Walter and colleagues at the Pulmonary
Center, Boston University School of Medicine, Massachusetts, United
States, from a study among 3,254 members of the Framingham Offspring
Cohort in the Framingham Heart Study.
The clinicians point out that there has been an inconsistent
association in patients between diabetes mellitus and a reduced level
of pulmonary function. They decided to analyse the relationship of
diabetes and of fasting blood glucose to the level of pulmonary
function, and which was assessed by spirometry among the Offspring
Cohort.
Diabetes was defined among patients as either a fasting blood glucose
of 126 mg/dL or more, or whether they were receiving pharmacologic
treatment for their condition. The patients were asked about their
smoking behavior and were classified as current, former, or never
smokers.
Predicted pulmonary function was determined by the researchers from
the coefficients of a regression of pulmonary function on age, sex,
and body habits among the 1,110 patients who had never smoked.
They found that both the diagnosis of diabetes. and a higher level of
fasting blood glucose, were associated with lower than predicted
levels of pulmonary function. The adverse effect of diabetes and
glycemic level on pulmonary function was stronger among patients who
had ever smoked in their lives compared with those who had never
smoked.
These findings suggested to the clinicians an interaction between the
level of fasting glycemia and tobacco smoking. Am
J Respir Crit Care Med 2003;15:167.
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FACT:
According to the
Centers for Disease Control and Prevention, 8.9 percent of Wisconsin
preschoolers were considered overweight in 1994 by state nutrition
standards. By 1998, the percentage had popped to 10.1 percent; by
2000, to 11.4 percent.
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your Patients Enjoy low carb chocolates with no sugar and 1gm of
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