Wednesday, April 18, 2012

WHY SMOKING CAN CAUSE HEART DISEASE AND DIABETES ?




     Smoking is responsible for several diseases, such as cancer, long-term ( chronic ) respiratory diseases, heart disease, diabetes, as well as premature death. Smoking is the largest cause of preventable death in the world. Recent studies have found that smokers can undermine the health of non-smokers in some environments.

     Scientists say there are over 4,000 compounds in cigarette smoke. A sizeable number of them are toxic - they are bad for us and damage our cells. Some of them cause cancer - they are carcinogenic.

Tobacco smoke consists mainly of :

Nicotine - this is not carcinogenic. However, it is highly addictive. Smokers find it very hard to quit because they are hooked on the nicotine. Nicotine is an extremely fast-acting drug. It reaches the brain within 15 seconds of being inhaled. If cigarettes and other tobacco products had no nicotine, the number of people who smoke every day would drop drastically. Without nicotine, the tobacco industry would collapse.

Carbon Monoxide - this is a poisonous gas. It has no smell or taste. The body finds it hard to differentiate carbon monoxide from oxygen and absorbs it into the bloodstream. Faulty boilers emit dangerous carbon monoxide, as do car exhausts.

Tar - consists of several cancer-causing chemicals. When a smoker inhales cigarette smoke, 70% of the tar remains in the lungs.


The image shows how smoking can affect arteries in the heart and legs. Figure A shows the location of coronary heart disease and peripheral arterial disease. Figure B shows a detailed view of a leg artery with atherosclerosis—plaque buildup that's partially blocking blood flow. Figure C shows a detailed view of a coronary (heart) artery with atherosclerosis.

  
     The chemicals in tobacco smoke harm your blood cells. They also can damage the function of your heart and the structure and function of your blood vessels. This damage increases your risk of atherosclerosis. Atherosclerosis is a disease in which a waxy substance called plaque builds up in the arteries. Over time, plaque hardens and narrows your arteries. This limits the flow of oxygen-rich blood to your organs and other parts of your body.

     Coronary heart disease ( CHD ) occurs if plaque builds up in the coronary ( heart ) arteries. Over time, CHD can lead to chest pain, heart attack, heart failure, arrhythmias, or even death. Smoking is a major risk factor for heart disease. When combined with other risk factors—such as unhealthy blood cholesterol levels, high blood pressure, and overweight or obesity—smoking further raises the risk of heart disease.

     Smoking also is a major risk factor for peripheral arterial disease ( P.A.D. ). P.A.D. is a condition in which plaque builds up in the arteries that carry blood to the head, organs, and limbs. People who have P.A.D. are at increased risk for heart disease, heart attack, and stroke.

     Secondhand smoke also can harm the heart and blood vessels. Secondhand smoke is the smoke that comes from the burning end of a cigarette, cigar, or pipe. Secondhand smoke also refers to smoke that's breathed out by a person who is smoking. Secondhand smoke contains many of the same harmful chemicals that people inhale when they smoke. Secondhand smoke can damage the hearts and blood vessels of people who don't smoke in the same way that active smoking harms people who do smoke. Secondhand smoke greatly increases adults' risk of heart attack and death.

Secondhand smoke also raises children and teens' risk of future CHD because it,
1.      Lowers HDL ( High Density Lipoprotein ) cholesterol ( sometimes called " good " cholesterol )
2.      Raises blood pressure
3.      Damages heart tissues
4.   The risks of secondhand smoke are especially high for premature babies who have respiratory distress syndrome ( RDS ) and children who have conditions such as asthma.
  
     Smokers appeared to have a 44 % higher risk of developing type 2 diabetes than non-smokers. The risk was highly linked to the smoking degree. Heavy smokers ( at least 20 cigarettes daily ) had a 61 % higher risk, while less than 20 cigarettes daily were correlated to a 29 % increase of the risk. Former smokers had just a 23 % higher risk. The researchers warn that this was not a proof of direct causality.

     A number of studies have examined the association between smoking and incidence of glucose abnormalities. The findings of the study reveal that smoking could be independently associated with glucose intolerance, impaired fasting glucose and type 2 diabetes. Hence, smoking can lead to the development of type 2 diabetes.

     Smoking causes diabetes because it leads to insulin resistance or inadequate compensatory insulin secretion responses. So there is a 50% likelihood of increased risk for diabetes among smokers ( both men and women ).

     Smoking which causes type 2 diabetes can affect the other way round, too. Diabetics who smoke are at more risk of aggravating their health problems. Following are the health risks that get compounded due to smoking among the diabetics :

Blood glucose : Blood glucose shoots up further among diabetics when they smoke.
Blood pressure : Blood pressure elevates when a person suffering from diabetes smokes.
Cholesterol : The cholesterol level increases among diabetic patients who smoke.
Infections : Smoking damages the blood vessels of the diabetics which makes harder for their body to heal. So, the risk of getting infected increases which can finally end up in amputations.
Kidney and nerve disease : Diabetics who already suffer from kidney and nerve disease can damage the same when they smoke.
Joint mobility : Diabetics, who experience problems in the mobility of their joints, are at higher risk of losing joint mobility due to smoking.
Cancer : Diabetics who smoke are prone to develop life-threatening cancers in mouth, throat, lung and bladder.
Erectile dysfunction : People who have diabetes and smoke have greater risk of being impotent.
Respiratory diseases : Diabetics who smoke face difficulty in fighting against cold and other respiratory diseases.



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