 [ Symptoms ] help me  my throat is swollen and feels like its on fire i can not swallow anything without it feeling like i am sticking a knife down my throat my ears feel like their on fire and also hurt when i swallow and when i get up i am light headed what is this  i can not sleep at night i can not eat or drink anything i have had 8 ibuprofens and 2 all day pain killers nothing has helped<negative_smiley> [ Disease ] i would say whichever you feel you can do most successfully smoking is a huge health risk factor and can affect blood sugar levels if you choose to do that first which makes a lot of sense you can still make small changes to your diet while taking medication for example eating at the right times to coincide with medication and checking blood sugar can be a good first step while you kick the smoking habit once your smoking habit is under control you can dive deeper into diet and exercise but the key is starting somewhere and taking it one small step at a time good luck see more smoking cessation health center a healthy type 2 diabetes diet