Alcohol and recreational drug use in young adults with type 1 diabetes

Pastor, Adam; Conn, Jennifer; Teng, James T. C.; O'Brien, Casey L; Loh, Margaret; Collins, Lisa; MacIsaac, Richard J; Bonomo, Yvonne

doi:10.1016/j.diabres.2017.05.026

Cited by 22 publications

(28 citation statements)

References 63 publications

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“…An earlier review in 2017 described similar physiological mechanisms, namely alcohol‐induced inhibition of gluconeogenesis and growth hormone secretion, as well as increased lipolysis with impaired fatty acid oxidation . The delayed onset of hypoglycaemia at 8–12 hours was also found.…”

Section: Effects Of Acute Alcohol Consumption On Blood Glucosementioning

confidence: 81%

“…The carbohydrate type was pasta, which can have a delayed absorption with consequently delayed hyperglycaemia that requires insulin. The ketone levels were statistically significant but not clinically significant or probably relevant for patient education, which may be due to the impaired oxidation of fatty acids and the increased amount of alcohol.…”

Section: Glycaemic Effects Of Alcoholic Beverages Food Consumption mentioning

confidence: 82%

“…In people with type 1 diabetes mellitus (T1DM), the intake and pattern of drinking influence the risk of life‐threatening hypo‐ or hyperglycaemia . Therefore, for young people (YP) with T1DM it could be presumed that abstention from alcohol would be the preferred choice, as hypoglycaemia is the most feared and anxiety‐provoking challenge of having diabetes . However, data suggest the contrary, in that adolescents with T1DM have similar or only slightly lower rates of participation in alcohol consumption compared to peers without diabetes .…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, for young people (YP) with T1DM it could be presumed that abstention from alcohol would be the preferred choice, as hypoglycaemia is the most feared and anxiety‐provoking challenge of having diabetes . However, data suggest the contrary, in that adolescents with T1DM have similar or only slightly lower rates of participation in alcohol consumption compared to peers without diabetes . In one study of 17–18 year olds, reported drunkenness was higher in the group with T1DM vs those without T1DM (37.4% vs 18.9%), with significantly higher alcohol consumption over the previous year (78.3% vs 64.6%) …”

Section: Introductionmentioning

confidence: 99%

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A review of the challenges, glycaemic risks and self‐care for people with type 1 diabetes when consuming alcoholic beverages

et al. 2020

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Evidence‐based information for people with type 1 diabetes mellitus (T1DM) when consuming alcoholic beverages is sparse and simplistic. In clinical practice, erratic blood glucose levels with hypoglycaemia and hyperglycaemia are regularly observed, with episodes of severe hypoglycaemia being a potential risk. Preventative health behaviour strategies are often based on trial and error, with deliberately caused hyperglycaemia being a common tactic. Although important, there are no systematic reviews that synthesise the research evidence on the acute effects of alcohol on blood glucose and the impact in real‐life. We aimed to investigate the acute effect of alcoholic beverages on blood glucose, and to use appropriate evidence to recommend self‐care advice to help maintain safe glycaemic control in people with T1DM. A literature search from eight bibliographic databases was performed. Fifteen appropriate publications were identified. Most original research was performed in a laboratory environment and demonstrated inconsistencies in the effects of alcohol on blood glucose. Few studies were conducted in the real‐life environment, with advice from ‘diabetes associations’ focusing on abstinence rather than alcohol harm reduction strategies. In conclusion, key components to consider when designing future interventions include: the biochemical response to alcohol; the role of exogenous insulin; the presence and timing of carbohydrate foodstuffs in relation to alcohol; the impact of the constituents and amount of an alcoholic beverage consumed; and the effects of alcohol on cognition and behaviours.

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Section: Effects Of Acute Alcohol Consumption On Blood Glucosementioning

confidence: 81%

Section: Glycaemic Effects Of Alcoholic Beverages Food Consumption mentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A review of the challenges, glycaemic risks and self‐care for people with type 1 diabetes when consuming alcoholic beverages

et al. 2020

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“…Type 1 diabetes is a common condition of young adulthood, characterized by autoimmune destruction of insulin-producing pancreatic b cells and requiring lifelong administration of insulin [1]. Young adults with Type 1 diabetes consume alcohol and recreational drugs at rates similar to their peers [2], however, this use is associated with higher rates of hospitalization and mortality relative to young adults without Type 1 diabetes [3,4]. Research has demonstrated that young adults with Type 1 diabetes may inconsistently apply a range of harm minimization measures to reduce the risk of substance use, yet rarely discuss these measures with clinicians [5,6].…”

mentioning

confidence: 99%

Clinicians feel comfortable discussing alcohol but not illicit drug use with young adults with Type 1 diabetes: a survey of clinicians

Pastor¹,

Conn²,

et al. 2019

Diabet. Med.

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systematic and robust way. Such research should also include qualitative studies to ensure that the perspective of the person with diabetes is accounted for.People with diabetes sometimes use the term diabulimia themselves [11,12], and we appreciate the importance of support groups for individuals struggling with issues relating to eating, weight, body shape or insulin. We believe, however, that for professionals in particular it is important to be mindful in adopting terminology and avoid jargon. This should of course not stop us raising awareness about insulin omission as a dangerous weight loss strategy in Type 1 diabetes. Finally, to advance our understanding and management of this complex combination, we advocate multidisciplinary consensus meetings, including individuals with lived experience, to discuss current research findings and future actions, including prevention, assessment tools and tailored treatments. In this context, finding the appropriate terminology and definitions for the different clinical presentations of eating disorder psychopathology in persons with Type 1 diabetes is a priority.

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Social Aspects of Diabetes

Frier,

Strachan

2024

Textbook of Diabetes

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Alcohol and recreational drug use in young adults with type 1 diabetes

Cited by 22 publications

References 63 publications

A review of the challenges, glycaemic risks and self‐care for people with type 1 diabetes when consuming alcoholic beverages

A review of the challenges, glycaemic risks and self‐care for people with type 1 diabetes when consuming alcoholic beverages

Clinicians feel comfortable discussing alcohol but not illicit drug use with young adults with Type 1 diabetes: a survey of clinicians

Social Aspects of Diabetes

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