People with diabetes who smoke and people with diabetes exposed to secondhand smoke have a heightened risk of cardiovascular disease, premature deaths, microvascular complications, and worse glycemic control when compared to those who do not smoke.
Smoking may have a role in development of type 2 diabetes also.
A routine and total assessment of tobacco use is essential to prevent smoking or encourage cessation.
There is plenty of evidence which has demonstrated the efficacy and cost effectiveness of brief counseling in smoking cessation, Including the use of telephone quick lines, in reducing tobacco use .
Use of pharmacotherapy to assist smoking cessation with diabetes has shown to be effective for the patient who are motivated to quit by Counselling. Use of E cigarettes to be discreet.