Diabetics can quit without gaining weight
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First Department of Critical Care, Evaggelismos General Hospital, National and Kapodistrian University of Athens, Athens, Greece
Seventy-first Department of Propaedeutic and Internal Medicine, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece
Center for Health Services Research, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
National Institute for Health Research, Imperial College, London, United Kingdom
Pharmacy Department, Evaggelismos General Hospital, Athens, Greece
Oslo University Hospital, Oslo, Norway
Unit of Thoracic Diseases, National and Kapodistrian University of Athens, Athens, Greece
Publication date: 2020-10-22
Tob. Prev. Cessation 2020;6(Supplement):A94
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Post cessation weight gain (PSWG) is typical when quitting smoking, unmotivates smokers to quit and may lead to relapses. PSWG is of considerable concern not only among women but also among smokers with diabetes mellitus, additionally arguing this could further disturb glycemic control.

We intend to shed light on diabetic smoker traits in order to organize a smoking cessation program that fulfils their needs.

We organized an intense smoking cessation program for diabetic smokers from a multidisciplinary team, using intense behavioural support, pharmaceutical treatment and advice for physical activity. Diabetic smokers were administered varenicline and attended the outpatient clinic once a week for the first month and once a month for the first trimester. Our recruitment target is 200 of participants. We assessed addiction (Fagerström Test For Nicotine Dependence, FTND) intensity of smoking (cigarettes/day, pack-years), motivation/confidence, bodyweight, Rest Metabolism Rate (RMR), physical activity (IPAQ) and glycemic control parameters (HbA1c).

Below are the first-year results. Until now, 41 smokers (27 men, 14 women) agreed to participate. They were highly addicted (FTND: 9/11), smoking around one pack of cigarettes per day, highly motivated (8.1, on a scale of 1 to 10) and with poor confidence (5.1, on a scale of 1 to 10). After the 3-month program completion, 25 participants quit smoking (61%). Their average weight slightly dropped (kg before/after: 88.13±15.41/87.45±16.24) while RMR increased (kcal before/after: 1349/1472), though both changes were not statistically significant (p>0.05). Likewise, a slight increase of HbA1c was not statistically significant (p>0.05). Participants self-reported increase of physical activity (IPAQ score: high level from 14.3% to 26.3%) showing adherence to strong recommendations given from the medical team.

We conclude that intense smoking cessation programs for diabetic patients from an experienced multidisciplinary team can lead to high quitting rates without PSWG.

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