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尼古丁使用与糖尿病困扰对1型糖尿病青年患者血糖控制的联合影响。

Joint effect of nicotine use and diabetes distress on glycemic control in young adults with type 1 diabetes.

作者信息

Plaitano Enzo G, Stanger Catherine

机构信息

Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, Lebanon, NH 03766, United States; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, NH 03766, United States.

Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, Lebanon, NH 03766, United States.

出版信息

J Diabetes Complications. 2025 Aug;39(8):109083. doi: 10.1016/j.jdiacomp.2025.109083. Epub 2025 May 17.

DOI:10.1016/j.jdiacomp.2025.109083
PMID:40398346
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12224281/
Abstract

Nicotine inhibits glucose metabolism. In this national cross-sectional analysis of 388 young adults with type 1 diabetes and above target glycemic control, vaping was the most common route of nicotine use, and heavy nicotine use plus higher type 1 diabetes distress was related to worse objective measures of glycemic control. Trial registration: ClinicalTrials.govNCT04646473; https://clinicaltrials.gov/ct2/show/NCT04646473.

摘要

尼古丁会抑制葡萄糖代谢。在这项针对388名1型糖尿病且血糖控制高于目标水平的年轻成年人的全国性横断面分析中,吸电子烟是最常见的尼古丁使用途径,大量使用尼古丁加上较高的1型糖尿病困扰与血糖控制的客观指标较差有关。试验注册:ClinicalTrials.govNCT04646473;https://clinicaltrials.gov/ct2/show/NCT04646473 。

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本文引用的文献

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EMBARK: A Randomized, Controlled Trial Comparing Three Approaches to Reducing Diabetes Distress and Improving HbA1c in Adults With Type 1 Diabetes.EMBARK:一项比较三种方法以降低 1 型糖尿病成人糖尿病困扰和改善 HbA1c 的随机对照试验。
Diabetes Care. 2024 Aug 1;47(8):1370-1378. doi: 10.2337/dc23-2452.
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Central and peripheral actions of nicotine that influence blood glucose homeostasis and the development of diabetes.尼古丁对血糖稳态和糖尿病发生的中枢和外周作用。
Pharmacol Res. 2023 Aug;194:106860. doi: 10.1016/j.phrs.2023.106860. Epub 2023 Jul 21.
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Tobacco use patterns and clinical outcomes in the T1D exchange.T1D 交换中的烟草使用模式和临床结局。
J Diabetes Complications. 2022 Feb;36(2):108128. doi: 10.1016/j.jdiacomp.2022.108128. Epub 2022 Jan 12.
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Glycaemic Control in Youth and Young Adults: Challenges and Solutions.青少年及青年成人的血糖控制:挑战与解决方案。
Diabetes Metab Syndr Obes. 2022 Jan 10;15:121-129. doi: 10.2147/DMSO.S304347. eCollection 2022.
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Screening and counseling for nicotine use in youth with diabetes.青少年糖尿病患者尼古丁使用的筛查和咨询。
Pediatr Diabetes. 2022 Feb;23(1):157-164. doi: 10.1111/pedi.13287. Epub 2021 Dec 12.
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Use frequency and symptoms of nicotine dependence among adolescent E-cigarette users: Comparison of JUUL and Non-JUUL users.青少年电子烟使用者尼古丁依赖的使用频率和症状:JUUL 使用者与非 JUUL 使用者的比较。
Drug Alcohol Depend. 2021 Nov 1;228:109078. doi: 10.1016/j.drugalcdep.2021.109078. Epub 2021 Sep 24.
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Financial stress in emerging adults with type 1 diabetes in the United States.美国1型糖尿病初显成人的经济压力
Pediatr Diabetes. 2021 Aug;22(5):807-815. doi: 10.1111/pedi.13216. Epub 2021 May 18.
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A Digital Health Intervention (SweetGoals) for Young Adults With Type 1 Diabetes: Protocol for a Factorial Randomized Trial.一项针对 1 型糖尿病青年成年人的数字健康干预措施(SweetGoals):析因随机试验方案。
JMIR Res Protoc. 2021 Feb 23;10(2):e27109. doi: 10.2196/27109.
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The Evolution of Hemoglobin A Targets for Youth With Type 1 Diabetes: Rationale and Supporting Evidence.《1 型糖尿病青少年血红蛋白 A1c 目标值的演变:原理与支持证据》。
Diabetes Care. 2021 Feb;44(2):301-312. doi: 10.2337/dc20-1978. Epub 2021 Jan 11.
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