Diabetes and Commercial Tobacco

1. Traditional Tobacco is a sacred plant for many tribes. It is grown naturally without chemicals and harvested in prayer. It is used for sacred purposes of special significant offerings only.

a) True
b) False

2. Commercial Tobacco has over 2,000 harmful chemicals of which 69 are cancerous. Gases and particles are emitted while smoking commercial tobacco including: Carbon Monoxide, Nicotine, Hydrogen Cyanide, Lead, Ammonia, Nitrosamine, Formaldehyde, Cadmium, Polonium-210, and Benzene.

a) True
b) False

3. According to 2019 data, Native American adults and adolescents have a higher prevalence of smoking than any other race in the US.

a) True
b) False

4. Which of the following statements are true with regards to the impact of smoking on the body and the increased risk of developing diabetes.

a) Smoking increases inflammation and damage to tissues in the body.
b) Toxins in commercial cigarettes directly injure cells, causing swelling and cellular dysfunction.
c) Commercial cigarettes cause oxidative stress, which is the result of the toxins combining with oxygen to cause cellular damage.
d) Oxidative stress and inflammation is related to increased risk of diabetes and other health conditions.
e) All of the above

5. All forms of Commercial Tobacco are unsafe and addictive.

a) True
b) False

6. One of the most important ways to be successful with your patients who smoke is to get to know them and know their health goals. A regimen of behavioral and medicinal therapy may improve their chances of quitting by 50%.

a) True
b) False

7. It is important to ask patients who use commercial tobacco if they are interested in quitting at every visit with a clinician.

a) True
b) False