Department of Addiction Medicine, St Vincent's Hospital Melbourne, Australia; Department of Medicine, University of Melbourne, Australia.
Department of Diabetes and Endocrinology, Royal Melbourne Hospital, Australia.
Diabetes Res Clin Pract. 2017 Aug;130:186-195. doi: 10.1016/j.diabres.2017.05.026. Epub 2017 Jun 11.
Alcohol and other recreational drug use reaches peak prevalence in young adulthood, including for those with chronic medical conditions such as type 1 diabetes. This review summarises the current literature on the patterns of substance use amongst young adults with type 1 diabetes and the mechanisms through which alcohol and recreational drugs may affect diabetes related health outcomes. These include the direct physical effect of intoxication, as well as the effects of alcohol and drugs on mental health and glucose metabolism. Evidence for increased associated mortality and morbidity is also presented, and current guidelines, management strategies and directions for further research are discussed.
酒精和其他娱乐性药物的使用在年轻成年人中达到高峰，包括 1 型糖尿病等慢性疾病患者。本综述总结了目前关于 1 型糖尿病年轻患者物质使用模式以及酒精和娱乐性药物可能影响糖尿病相关健康结果的机制的文献。这些包括醉酒的直接身体影响，以及酒精和药物对心理健康和葡萄糖代谢的影响。还提出了与死亡率和发病率增加相关的证据，并讨论了当前的指南、管理策略和进一步研究的方向。
