Recreational drug use in type 1 diabetes: an invisible accomplice to poor glycaemic control?

Recreational drug use in type 1 diabetes: an invisible accomplice to poor glycaemic control?
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DOI:
10.1111/j.1445-5994.2011.02653.x
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发表时间:
2012-02-01
影响因子:
2.1
通讯作者:
Campbell, L. V.
Campbell, L. V.
中科院分区:
医学4区
文献类型:
--
作者:
Lee, P.;Greenfield, J. R.;Campbell, L. V.

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在狂欢派对中使用娱乐性药物越来越受欢迎,但娱乐性药物使用对1型糖尿病(T1D)的影响尚不清楚。我们通过国家广播和在线/医院广告,邀请患有T1D的澳大利亚人参加一项匿名的在线/纸质药物使用调查,确定了T1D患者自我报告的娱乐性/非法药物使用模式和影响。在对我们的调查作出回应的T1D患者中,超过四分之三的人报告使用过娱乐性/非法药物,但很少有人向卫生专业人员告知吸毒情况。药物使用与较差的血糖控制和较高的糖尿病酮症酸中毒风险相关。对目前未被充分报道的青年T1D患者普遍使用药物的医学认识至关重要。它提供了帮助这类患者改善相关亚最佳代谢控制的可能性。
Recreational drug use during rave parties is increasingly popular, but the impact of recreational drug use in type 1 diabetes (T1D) is not known. We determined the self-reported pattern and effects of recreational/illicit drug use in Australians with T1D people by inviting people with T1D to participate in an anonymous online/paper survey of drug use, through national radio broadcast and online/hospital advertising. Of the people with T1D who responded to our survey, more than three quarters reported having used recreational/illicit drug, but few people had informed health professionals about drug use. Drug use was associated with worse glycaemic control and higher risk of diabetic ketoacidosis. Medical awareness of common, currently underreported, drug use in young people with T1D is essential. It offers the possibility of helping such patients improve related suboptimal metabolic control.