question-icon

How will cutting down on excessive shisha smoking when diagnosed with type-1 diabetes and heart problems help my condition?

default
Posted on Thu, 16 May 2019
Question: HI I HAD A STENT & I WAS A VERY HEAVY SHISHA SMOKER

NOW I REDUCE FROM 10 SHISHA PER DAY TO 1 SHISHA PER DAY ? IS IT OK ???

BECAUSE I TRIED TO STOP BUT I WAS LIKE CRAZY SPECIALY I AM TYPE 1 DIABETES
Asked by Me , 17 hours ago
THE SUMMARY OF MY STENT INVASIVE CARDIAC LABORATORY:
SEVERE MID LAD 80% STENOSIS SUCCESSFULLY STENTED USING ONE DES.
RECOMMEND: DAPT/BETA BLOCKER/SATIN/CONTROL RISK FACTORS AND LIFE STYLE MODIFICATION.
CORONARY ANGIOGRAM:
LEFT CORONARY ARTERY:THE LEFT MAIN CORONARY ARTERY IS NORMAL,WITHOUT STENOSIS.
THE LEFT ANTERIOR DESCENDING CORNARY ARTERY HAS 80% STENOSIS IN MID LAD FOLLOWED BY MILD LUMINAL IRREGULARITIES DISTALLY.
THE PROXIMAL CIRCUMFLEX CORONARY ARTERY HAVE A 30% STENOSIS.
RIGHT CORONARY ARTERY:
THE RIGHT CORONARY ARTERY HAS A 30% STENOSIS PROXIMALLY WITH LUMINAL IRREGULARITIES DISTALLY.
TECHNIQUE:

CONTRAST: OMNIPAQUE 200 ML
DIAGNOSTIC CATHERTER: JL3.5/JR4 5F
GUIDING CATHETER: GUIDING EBU3.5 6F
GUIDEWIRE: XXXXXXX GUIDE WIRE X 2
BALLOON: NC QUANTUM BALLOON 3.0 MM X 8 MM
DRUG-ELUTING SENT : ONYX 2.75 MM X 30 MM

ARTERY : PROXIMAL
STENOSIS: 80%
RESIDUAL STENOSIS : 0%
STENTS: 2.75 X 30 MM ONYX RESOLUTE
TECHNIQUE: DIRECT STENTING
doctor
Answered by Dr. Ornela Ademovi (2 hours later)
Brief Answer:
Management of withdrawal symptoms

Detailed Answer:

Hello,

With a history of diabetes and heart problems, it was wise of you to cut back from 10 shishas per day (which is an excessive amount even for a healthy person) to one per day. The ideal target is to cut back completely, however this should be done very gradually in order to avoid withdrawal symptoms. If you are experiencing such symptoms already, I advice you to maintain your habit of one shisha per day for the time being and try to implement a healthy lifestyle, mild increase of physical activity and hydration. In a few weeks, you may try to reduce the amount of shisha until you gradually come to a complete stop.

In the mean time, it is very important that you have regular check ups with your primary care doctor or endocrinologist and cardiologist.

I hope this answers your question. Take care.

Regards,
Dr. Ornela Ademovi
General & Family Physician
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Ornela Ademovi

General & Family Physician

Practicing since :2004

Answered : 738 Questions

premium_optimized

The User accepted the expert's answer

Share on
How will cutting down on excessive shisha smoking when diagnosed with type-1 diabetes and heart problems help my condition?

Brief Answer: Management of withdrawal symptoms Detailed Answer: Hello, With a history of diabetes and heart problems, it was wise of you to cut back from 10 shishas per day (which is an excessive amount even for a healthy person) to one per day. The ideal target is to cut back completely, however this should be done very gradually in order to avoid withdrawal symptoms. If you are experiencing such symptoms already, I advice you to maintain your habit of one shisha per day for the time being and try to implement a healthy lifestyle, mild increase of physical activity and hydration. In a few weeks, you may try to reduce the amount of shisha until you gradually come to a complete stop. In the mean time, it is very important that you have regular check ups with your primary care doctor or endocrinologist and cardiologist. I hope this answers your question. Take care. Regards, Dr. Ornela Ademovi General & Family Physician