From problems after quitting smoking to diabetes – Dr Jeff answers your health questions

Q: I GAVE up smoking 13 months ago after being a heavy smoker for 45 years.

I felt so much better at first, but then I started to feel poorly and developed a sticky sap on my teeth which I’ve had for seven months.

My GP is not taking it seriously.

I’ve bought mouthwash, tooth brushes, tablets etc, but nothing is working.

Please help me.

Jill Collins, Bridgend

A: People are aware of the risks that smoking has on our bodies, but often don’t realise the adverse health risks on our mouth and teeth.

Smoking increases the risk of tooth staining, gum disease, tooth loss and even mouth cancer.

Tooth staining often has a sap-like appearance and is a result of nicotine and tar that is found in the tobacco.

Symptoms can persist for months or years after prolonged smoking has occurred.

Smoking also causes a lack of oxygen in the bloodstream to the gums, which increases the risk of gum disease.

You need a dentist, not a a GP.

Using mouthwash, toothbrushes and tablets is important, but there is no substitute for regular professional assessment and treatment by a dentist, who will be able to look at how you can improve your oral hygiene and the wellbeing of your teeth and gums.

Q: I’M in my 40s and just been diagnosed with type 1 diabetes.

I’m overwhelmed.

What should I do first? There is so much information out there.

What is the best diet? And why would I get it now?

There is no history in my family, I am a good weight and I don’t drink.

Sarah Barratt, Leeds

A: Although it is unusual to be diagnosed with type 1 diabetes later in life, it is not impossible, and there are various reasons for it.

Unlike type 2 diabetes, type 1 is not related to lifestyle, obesity or calorie consumption.

Type 1 diabetes is an autoimmune disease that can occur as a result of a genetic/inherited faulty gene, it can be as a result of other medical conditions, viral infections or, most commonly, just bad luck.

Type 1 diabetes results in the destruction of the islet cells in the pancreas that produce insulin, so the only treatment is external insulin injections.

A low sugar diet is important to prevent sugar spikes. Your diabetic nurse will help run through the best diet plan for you.

It may seem like a devastating diagnosis, but as long as you look after yourself, you can lead a near normal life.