Smokers with diabetes and hypertension at higher risk of Cardiovascular events

“Smokers with diabetes and hypertension at higher risk of Cardiovascular events”. – ICanCaRe

Introduction:

I continuation of our previous blog article on the risk of smoking and diabetes type 2, a recent article on a link of CVD with diabetes, highlights the need for a comprehensive smoking cessation program for such patients.

In the complex landscape of managing type 2 diabetes, the link between blood pressure levels and cardiovascular disease (CVD) mortality has emerged as a critical focal point. A recent study published in the Journal of the American Heart Association delves into the intricate relationship between systolic and diastolic blood pressure (BP) levels and their impact on mortality in patients with type 2 diabetes. The findings, drawn from a multi-institutional diabetes registry in Singapore, underscore the urgency for comprehensive interventions like ICanCaRe to address the cardiovascular risks associated with type 2 diabetes.

Unraveling the Study’s Objectives:

Led by Loraine Liping Seng and her colleagues, the study aimed to unravel the correlation between systolic and diastolic BP levels and the risk of CVD mortality in patients with type 2 diabetes. Additionally, the study explored associations with all-cause mortality, the composite outcome of all-cause mortality and CVD hospitalization, and the composite outcome of CVD mortality and hospitalization due to specific cardiovascular events such as myocardial infarction (MI), heart failure (HF), stroke, bypass surgery (CABG), and percutaneous coronary intervention (PCI).

The Singaporean Perspective:

Utilizing data from a multi-ethnic Asian patient pool – Chinese, Malay, and Indian – the study delved into a rich repository of information encompassing primary care to hospital-based care. The comprehensive analysis included 83,721 patients with type 2 diabetes over a span of seven years. Notably, almost 80% of the participants were on antihypertensive treatment, highlighting the prevalence of the condition in this population.

Key Findings and Implications:

The study’s primary outcome revealed a notable association between clinic systolic BP of 130 mm Hg or higher and/or diastolic BP of 90 mm Hg or greater with an increased risk of CVD mortality in patients with type 2 diabetes. Intriguingly, adverse cardiovascular outcomes were also paradoxically linked to diastolic blood pressure levels below 70 mm Hg. While the authors acknowledge the potential influence of reverse causality, the study emphasizes the importance of maintaining systolic BP below 130 mm Hg and diastolic BP below 90 mm Hg in individuals with type 2 diabetes.

ICanCaRe: A Holistic Approach to Cardiovascular and diabetic Health:

In light of these findings, the ICanCaRe Tobacco Intervention program takes center stage as a holistic approach to address the multifaceted challenges posed by type 2 diabetes. Recognizing the intricate interplay between cardiovascular health, diabetes, and other lifestyle factors, ICanCaRe empowers individuals to make informed choices and adopt a comprehensive approach to well-being. The ICanCaRe program is designed to offer personalized support to individuals seeking to quit Tobacco. Understanding that each journey is unique, the program tailors its strategies to meet each participant’s specific needs and challenges. (www.app.icancare.in). Medical assistance in a protocol-based approach is provided by Certified Tobacco Cessation Specialists. This multi-faceted ABCD approach for tobacco cessation ensures that individuals have access to all necessary resources to 100% quit smoking or Chewing tobacco.

Conclusion:

As the nexus between type 2 diabetes, blood pressure levels, and cardiovascular risks becomes clearer, interventions like ICanCaRe gain significance in the realm of patient care. By integrating the latest research findings into its framework, ICanCaRe supports tobacco cessation, guiding individuals through the complexities of managing diabetes and promoting cardiovascular health. In a world where data illuminates the path to better outcomes, the ICanCaRe program becomes an invaluable tool in the fight against the complications of type 2 diabetes with increased risk with smoking, offering a lifeline to those seeking a healthier, more empowered future.

Reference:

  1. Loraine Liping Seng, et al. Real-world systolic and diastolic blood pressure levels and cardiovascular mortality in patients with type 2 diabetes-results from a large registry cohort in Asia. J Am Heart Assoc. 2023 Nov 28:e030772. doi: 10.1161/JAHA.123.030772.
  2. World Health Organization, International Diabetes Federation, and the University of Newcastle. “Policy Brief on Smoking and Type 2 Diabetes.” This brief offers a comprehensive overview of the research linking smoking cessation to a reduced risk of type 2 diabetes.
  3. ICanCaRe. “Tobacco Cessation Program Overview.” www.icancare.in
  4. American Diabetes Association. “The Impact of Smoking on Diabetes and Diabetes Management.” This article discusses the implications of smoking on diabetes management and the benefits of cessation.
  5. National Institute of Diabetes and Digestive and Kidney Diseases. “Smoking and Diabetes.” This resource offers a deeper understanding of how smoking affects diabetes risk and control.
  6. ICanCaRe. (2021). ABCD of Tobacco Cessation. https://www.icancare.org/abcd.html

#icancare #diabetesandSmoking #smoking #quittobacco #icancareapp #CVDandsmoking

Unlock Wellness: Solutions to Your Health Challenges

Online Wellness Seminar Hosted by Max Institute of Cancer Care, Vaishali and Rotary Clubs

**Event Title**: Unlock Wellness: Solutions to Your Health Challenges

**Date**: November 25, 2023

Organizers:

– Rotary Club of Delhi Preet Vihar (President Rtn. Emili Munshi, Contact: 9873335016)

– Rotaract Club of SBSEC (President Rtr. Aman Rawat, Contact: 9718227284)

**Chief Guest**: Dr. Pawan Gupta M.Ch., Senior Director and Cancer Surgeon, MAX Hospital, Vaishali

**Session Conductor**: Dr. Annu Kanojia

Overview:

On November 25, 2023, an enlightening online health session titled “Unlock Wellness: Solutions to Your Health Challenges” was conducted, garnering the participation of 62 individuals. The session, led by renowned cancer surgeon Dr. Pawan Gupta M.Ch. from MAX Hospital, Vaishali focused on strategies for maintaining health and preventing cancer.

Key Highlights:

1. **Promoting Healthy Eating Habits**:

   – Avoidance of tobacco and alcohol.

   – Adherence to a balanced diet rich in nutrients.

2. **Adopting a Healthy Lifestyle**:

   – Importance of meditation for mental health, specifically Sync Energy Pranayam.

   – Regular exercise for physical fitness and weight management.

3. **Regular Health Care and Monitoring**:

   – Emphasis on regular self and clinical check-ups.

   – Advocacy for immunization, such as HPV vaccines.

   – Safe exposure to sunlight for Vitamin D, while being cautious of skin cancer risks.

The discussion revealed that tobacco use is a major cause of cancer, leading to a collective desire among participants to combat tobacco addiction and become “Tobacco Marshals” to influence societal change.

Dr. Gupta emphasized the feasibility of quitting tobacco with proper support, highlighting MAX Vaishali’s pioneering tobacco wellness program. He also demonstrated practical self-examination techniques for early cancer detection, including the 4-finger test and Chota Daana examination for oral cavity assessment, and introduced the TRISCaRe mouth opener device.

Mrs. Sonal Bhatia, National Leader Tobacco MARSHAL and PDC Inner Wheel 310 emphasized her mission to “SAVE the youth – NO ONE SHOULD DIE BECAUSE OF TOBACCO”

The session concluded with President Emili Munshi summarizing the action points and emphasizing the need for continued efforts to safeguard youth health.

**Hashtags**: #MAX #SaveTheYouth #TobaccoMarshal #ICanCare #PawanGupta #Rotary #RotaryClubOfDelhiPreetVihar #EmiliMunshi #AmanRawat #RotaractClubSBSEC

What to do if your brother is a tobacco user? BHAI DHOOJ SPECIAL

What to do if your brother is a tobacco user?

Tobacco use is one of the leading causes of preventable death and disease in the world. It can harm not only the smoker but also the people around them who are exposed to second-hand smoke. If your brother is a tobacco user, you may be worried about his health and well-being, and you would wish your brother to be tobacco-free. Here are some steps you can take to support your brother in his journey to becoming tobacco-free. Read – Why should a sister wish her brother to be tobacco-free. https://blog.icancare.in/2023/08/31/why-should-asister-wish-her-brother-be-tobacco-free/

1. #KNOWTOBACCO. Be a Tobacco MARSHAL. Educate yourself about the dangers of tobacco use and the benefits of quitting. Learn about the different types of tobacco products, such as cigarettes, cigars, pipes, hookahs, e-cigarettes, and smokeless tobacco. Find out how they affect the body and increase the risk of various diseases, such as cancer, heart disease, stroke, lung disease, and diabetes. The short-term effects and long-term effects. Also, learn about the positive effects of quitting tobacco, such as improved breathing, blood pressure, circulation, taste, smell, and mood. You can find reliable information from various sources and also from http://blog.icancare.in Please download the ICanCaRe Tobacco Wellness APP

2. COMMUNICATE –  Talk to your brother about his tobacco use and his reasons for quitting. Choose a time and place where you can have a calm and respectful conversation with your brother. Avoid nagging, lecturing, judging, or criticizing him for his tobacco use. Instead, express your concern and care for him, and ask him how he feels about his tobacco use and his readiness to quit. Listen to his answers and try to understand his perspective. You can also share some facts and benefits of quitting tobacco that you learned from step 1 but do not overwhelm him with too much information at once. You will need to have patience.

3. WIN OVER TOBACCO IS EASY – Encourage your brother to seek professional help and use evidence-based methods to quit tobacco. Quitting tobacco can be very challenging, especially if your brother has been using it for a long time or has a strong addiction. He may need more than just your support to quit successfully. You can suggest that he talk to Certified Tobacco Cessation Specialists near you or online Call ICanCaRe Quitline  @ 011-43077695,  about his tobacco use and get advice on the best ways to quit. You can also help him find and use proven methods to quit tobacco, such as nicotine replacement therapy (NRT), Nicotine Receptor Agonist medication, behavioral therapy, or quitline services. Certified Tobacco Cessation Specialist uses the most advanced digital tobacco cessation protocol for a 100% quit rate.

Most users, when given the assurance and hand held by a certified tobacco cessation specialist and with ABCD Quit Tobacco Intervention, are more than willing to quit!!!

An ICanCaRe Certified Tobacco Cessation Specialist follows the ABCD Of Tobacco Cessation to help in a 100% quit rate.

4. HAND HOLD- Be his Quit Buddy. Connect with your CTCS. Support your brother throughout his quitting process and celebrate his achievements. Quitting tobacco is not easy, and your brother may face many challenges and setbacks along the way. He may experience withdrawal symptoms, cravings, stress, mood swings, or weight gain. He may also encounter triggers or temptations that make him want to smoke or use tobacco again. You can help your brother cope with these difficulties by being there for him when he needs you. You can offer him emotional support, such as listening to his feelings, giving him encouragement, or reminding him of his reasons for quitting. You can also offer him practical support, such as helping him avoid or deal with triggers, distracting him from cravings, or joining him in healthy activities that reduce stress and improve well-being. Additionally, you can celebrate his achievements and milestones with him, such as going one day, one week, one month, or one year without tobacco. You can praise his efforts, reward his progress, or do something fun with him to mark the occasion.

5. BE A QUIT BUDDY. BE PATIENT. Do NOT FEEL GUILTY. – Be patient and understanding with your brother and yourself. Quitting tobacco is a personal decision and a process that takes time and effort. Your brother may not be ready to quit right away or may not quit on his first attempt. He may relapse or resume his tobacco use after quitting for a while. Do not give up on him or blame him for his failures. Instead, be patient and understanding with him and help him learn from his mistakes and try again. Remember that every quit attempt is a step forward and an opportunity to improve. Similarly, be patient and understanding with yourself, and do not feel guilty or frustrated if you cannot make your brother quit tobacco. You cannot control his behaviour or force him to change; you can only offer your support and guidance. The final decision and responsibility lie with him.

By following these steps, you can show your brother that you care about him and that you want him to live a healthier and happier life without tobacco.

Let us join hands to #savetheyouth.

(The Author – Dr. Pawan Gupta M.Ch. is Director of Surgical Oncology at Max Super Speciality Hospital, Vaishali, Patparganj, and Noida. He is the author of the books – Win Over Tobacco Made Easy, Be Smart Do Not Start and is highly recognized for his work on Oral Cancer and Tobacco Cessation. He is the convenor for the Certified Course in Tobacco Cessation at Gujarat University, and has trained more than 1000 doctors to be tobacco cessation specialists).

Book your appointment today to start a healthy tobacco/smoke-free life with the best in class tobacco/smoking cessation experts at www.icancare.in/quittobacco or call 011-430-77695 for help. Download the ICanCaRe e-cessation app for quitting smoking and tobacco at https://app.icancare.in