ABSTRACT
Objective To explore the effect of smoking on blood glucose level among male patients with type 2 diabetes in Changshu City.Methods Totally 41 57 male patients with type 2 diabetes involved in the national basic public health service were selected and assigned into four groups,including heavy smokers,current mild smokers,former smokers and non -smokers.All of them were investigated about the general social demographic data,living habits and health condition.Height,weight,waist and hipline were measured.BMI and WHR were calculated.FPG and HbA1 c were checked.Covariance analysis was used to correct the confounding factors,and the methods of multiple linear regression and partial correlation were used to evaluate the relationship between smoking and blood glucose level.Results FPG of the heavy smokers was higher than the current mild smokers,former smokers and non -smokers(P <0.05),but after the correction of the confounding factors,the differences were not statistically significant(P >0.05).HbA1 c of the heavy smokers and current mild smokers were higher than the former smokers and non -smokers(P <0.05 ),and after the correction of the confounding factors,the differences were still statistically significant(all P <0.05).Daily smoking amount was one of the influencing factors of HbA1 c(β=0.07,P <0.05).There was no correlation between the age of smoking initiation and FPG,HbA1 c(P >0.05).Daily smoking amount was positively correlated with HbA1 c(r =0.06,P <0.05), but was not correlated with FPG(P >0.05).Conclusion Smoking has a certain degree of influence on blood glucose level among male patients with type 2 diabetes in Changshu City,and we need to reduce the smoking rate among male patients with type 2 diabetes by health education.