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1 型糖尿病患者中的娱乐性药物使用:血糖控制不佳的隐形帮凶?

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

机构信息

Department of Endocrinology, St Vincent's Hospital, Sydney, New South Wales, Australia.

出版信息

Intern Med J. 2012 Feb;42(2):198-202. doi: 10.1111/j.1445-5994.2011.02653.x.

DOI:10.1111/j.1445-5994.2011.02653.x
PMID:22356493
Abstract

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.

摘要

在“锐舞”派对中使用消遣性药物的现象越来越普遍,但目前尚不清楚其在 1 型糖尿病(T1D)患者中的影响。我们通过国家广播电台和在线/医院广告,邀请 T1D 患者参与一项关于药物使用的匿名在线/纸质调查,以确定 T1D 患者中消遣性/非法药物使用的自我报告模式和影响。在对我们的调查做出回应的 T1D 患者中,超过四分之三的人报告说曾使用过消遣性/非法药物,但很少有人向医疗保健专业人员报告过药物使用情况。药物使用与血糖控制更差和糖尿病酮症酸中毒风险增加有关。医疗保健专业人员必须了解年轻人中常见的、目前报告不足的药物使用情况,这是至关重要的。它为帮助这些患者改善相关的代谢控制不佳提供了可能。

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