Living with Diabetes

Diabetes and Smoking

Smoking is a habit in which people have adapted for decades. The best known adverse effect of smoking is that it can cause various types of cancer. However, smoking will greatly increase your chances of developing the complications of Diabetes. Moreover, people with Diabetes who smoke are three times as likely to die of cardiovascular disease as are other people with Diabetes who do not smoke.

How does smoking affect your body?

How do I quit?

Most people who quit successfully go through three stages:

  1. Preparing to stop: Build up your determination to quit and set a quit day
  2. Stopping: Gradually reduce the number of cigarettes you smoke each day
  3. Staying stopped: Learn new coping skills. For example say “no” to friends when they offer you a smoke, recognising your triggers to smoke and try new strategies to deal with them

Most importantly during this process is to take it one day at a time. Each day congratulate yourself on having made it so far.  Make it your goal to get through today without smoking.  Don't worry about tomorrow.

What are my road blocks to quitting?

How long these three stages take depends on you and the support you have around you. Each person is different. There are “blocks” in your own mind that make the quitting process take longer. Some of the common blocks are:

Remember these are only road blocks if you make them so and the only way you will successfully quit is if you are able to understand them and be prepared to deal with them.

Remember to consider the following:
 

“Remember to congratulate yourself on every positive step you take”

Nicotine Replacement Therapy

Nicotine patches, gums and lozenges

Using nicotine patches, gum and lozenges for eight weeks can double your chances of quitting.
Nicotine replacement therapy works by replacing some of the nicotine you are used to getting from cigarettes. This will help reduce your withdrawal symptoms and increase your chances of success. Using patches, gum and lozenges is much safer than smoking with minimal side-effects usually limited to gastrointestinal problems.

Use of nicotine replacement therapy will help decrease your cravings but make sure that you are following guidelines on how much you can consume. It's still good to think about how to beat your habits and emotions associated with smoking addiction.

If you have any of the following medical conditions seek your healthcare provider’s advice on using nicotine replacement therapy before you start.

Nicotine Replacement Therapy Available in Kuwait

Tables 1, 2, and 3 list the available Nicorette replacement therapy options in Kuwait and how to appropriately use them during the time that you are trying to quit smoking.

Table 1: How to Use Nicorette Gum

Strength

Cigarette consumption

1 to 6 weeks

7 to 9 weeks

10 to 12 weeks

2mg

<25/day

1 gum every 1-2 hours

1 gum every 2-4 hours

1 gum every 4-8 hours

4mg

>25/day

1 gum every 1-2 hours

1 gum every 2-4 hours

1 gum every 4-8 hours

 

 

 

 

 

 

DO NOT USE MORE THAN 24 PIECES OF GUM A DAY

 Table 2: How to Use Nicorette Lozenges

Strength

Time of first Cigarette

1 to 6 weeks

7 to 9 weeks

10 to 12 weeks

2mg

30 minutes after wake up

1 Lozenge every 1-2 hours

1 Lozenge every 2-4 hours

1 Lozenge every 4-8 hours

4mg

During 30 minutes of waking up

1 Lozenge every 1-2 hours

1 Lozenge every 2-4 hours

1 Lozenge every 4-8 hours

 DO NOT USE MORE THAN ONE LOZENGE AT A TIME AT A MAXIMUM 5 LOZENGES EVERY 6 HOURS OR 20 LOZENGES PER DAY

Table 3: How to Use Nicorette Patches

Strength

Cigarette Consumption 

1 to 6 weeks

7 to 8 weeks

7 to 10 weeks

21mg

>10/day

21mg/day

14mg/day

7mg for 2 weeks

14mg

<10/day

14mg/day

7mg/day

only 8 weeks of treatment are required

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In general, it is recommended that the nicotine patch be used for no longer than 8 to 10 weeks. However, some people may need to continue to use the patch for a longer period of time. If you feel that you still crave cigarettes after you complete treatment, talk to your healthcare provider.

 

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