Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only
  • 12 Tips for Traveling With Diabetes
See the entire table of contents here!

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter
Latest
Popular
Top Rated
Smoking Archives
Print | Email | Share | Comments (0)

Teen Smoking: Gateway to Kidney Disease


Jul 1, 1998

In addition to the host of health risks that smoking presents to all people, studies have shown that adult type 1 smokers are at increased risk to develop macrovascular and microvascular diabetic complications, especially retinopathy and nephropathy. A recent study from Germany shows that markers of microvascular complications are also found in teen smokers with type 1 diabetes.

Despite the extra risks of microvascular complications, studies have shown that as many as 27 percent of adults with type 1 diabetes smoke. This could be an underestimate, however, as studies on smoking prevalence have been hampered by the lack of reliable data. Many tend to deny that they smoke or do not adequately report their smoking habits. This failure to report is especially true for adolescents. In a recent study of diabetic teens, only two of seven smoking teens admitted to smoking.

German researchers at the University of Ulm used a measurement of cotinine, a reliable marker of nicotine use found in the urine, to identify teens with type 1 diabetes who smoke. Of the 238 teens studied, 46 fit the definition of a regular smoker based on their cotinine levels, and 26 had cotinine levels indicative of infrequent smoking or environmental exposure to nicotine.

The study, published in the May issue of Diabetes Care, found that "Even if the majority of subjects in our study excreted albumin within the normal range, urinary albumin was significantly higher in smoking compared with nonsmoking subjects." Albumin in the urine is generally accepted as a marker of nephropathy.

The researchers found that smoking status appeared to have no effect on long-term glycemic control as measured by HbA1c. In addition, boys were found to be more likely to be smokers, and smokers tended to be shorter and have higher body mass indexes than nonsmokers. The authors provided no definitive explanation for these differences.

The authors advise that physicians discuss the effects of nicotine on the development of nephropathy in their adolescent type 1 patients in particular because most smokers tend to start during this time period. They also suggest that cotinine testing could help identify regular smokers and those passively exposed to nicotine to better target antismoking information.


Categories: A1c Test, Adolescent Boys, Adolescent Girls, Diabetes, Kidney Care (Nephropathy), Smoking, Type 1 Issues



You May Also Be Interested In...


Comments


Add your comments about this article below. You can add comments as a registered user or anonymously. If you choose to post anonymously your comments will be sent to our moderator for approval before they appear on this page. If you choose to post as a registered user your comments will appear instantly.

When voicing your views via the comment feature, please respect the Diabetes Health community by refraining from comments that could be considered offensive to other people. Diabetes Health reserves the right to remove comments when necessary to maintain the cordial voice of the diabetes community.

For your privacy and protection, we ask that you do not include personal details such as address or telephone number in any comments posted.

Don't have your Diabetes Health Username? Register now and add your comments to all our content.

Have Your Say...


Username: Password:
Comment:
©1991-2014 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.