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Test Your Knowledge: Clinical Case Vignette: Smoking and Type 2

Jun 23, 2018
 

You are concerned about Mr. Carlson’s cigarette use because cigarette smoking has been shown to have multiple physiological impacts on health. Which one of the following statements regarding smoking and type 2 diabetes is true?

Correct

Answer: B. In individuals with diabetes, it causes more rapid progression to micro- and macroalbuminuria

Educational Critique: Smoking cessation support for patients with diabetes is important and should be given high priority. In patients with diabetes, smoking is an independent risk factor for developing macrovascular and microvascular complications. In addition to being an independent risk factor, smoking causes more rapid progression to micro- and macroalbuminuria. Overall mortality is higher in people who smoke and who have diabetes when compared to the patient who do not smoke nor have diabetes. Studies suggest that smoking may induce diabetes and smoking has been shown to worsen glycemic control and insulin resistance. There are a variety of medications that can be used to help patients with diabetes to stop smoking. Bupropion is one of them.

Incorrect