Bornemisza P, Suciu I
Med Interne. 1980 Oct-Dec;18(4):353-6.
The effect of cigarette smoking on glycemia was investigated in 26 diabetic patients and 24 normal controls, all smokers. Using the method with ortho-toluidine à jeun, blood glucose levels were determined before smoking and 15, 30 and 60 minutes after the smoking of two cigarettes. Both groups showed an increase of glycemia following smoking, more marked, however, in the group of diabetics. In 16 cases the experience was repeated once more, and an even higher increase of the blood glucose values was recorded as a result of the new nicotine charge. Conversely, no glycemia rise was noted after smoking nicotine-free cigarettes nor after smoking tobacco cigarettes but without inhaling the smoke. The increase of glycemia after smoking is assumed to be due to the mobilization of catecholamines and the stimulation of STH and cortisol production. This reaction seems to be more marked in diabetics than in metabolically normal subjects.
对26名糖尿病患者和24名正常对照者（均为吸烟者）研究了吸烟对血糖的影响。采用邻甲苯胺空腹法，在吸烟前以及吸两支烟后的15、30和60分钟测定血糖水平。两组在吸烟后血糖均升高，不过糖尿病组更为明显。16例患者再次重复该实验，由于新的尼古丁负荷，记录到血糖值有更高的升高。相反，吸无尼古丁香烟后以及吸烟草香烟但不吸入烟雾后未观察到血糖升高。吸烟后血糖升高被认为是由于儿茶酚胺的动员以及生长激素和皮质醇分泌的刺激。这种反应在糖尿病患者中似乎比代谢正常的受试者更明显。
