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International Journal of Epidemiology 2001;30:554-555
© International Epidemiological Association 2001

Diabetes

Commentary: Smoking and diabetes—accumulating evidence of a causal link

Ivan J Perry

Department of Epidemiology & Public Health, Distillery House, University College Cork, Ireland. E-mail:perry@ucc.ieTel: +353-21–904235/904234 Fax: +353-21–904236

Diabetes mellitus is a major public health challenge in both developed and developing countries. An estimated 135 million people worldwide had diagnosed diabetes in 1995 (of which more than 95% is Type 2), and this number is expected to rise to at least 300 million by 2025. The major part of this increase will occur in developing countries and it is estimated that by the year 2025, more than 75% of people with diabetes will reside in developing countries.1 This pandemic is largely driven by the globalization of western culture and lifestyles, specifically the inter-related problems of increasing obesity2,3 and decreasing physical activity levels3 worldwide. Diets high in saturated fat with limited intake of fruit and vegetables are also incriminated in the development of glucose intolerance and the occurrence of Type 2 diabetes.4,5

Insulin resistance is . . . [Full Text of this Article]

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