Glucose patterns following alcohol and illicit drug use in young adults with type 1 diabetes: A flash glucose monitoring study

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

doi:10.1002/edm2.257

Cited by 3 publications

(4 citation statements)

References 25 publications

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“…When considering the dangers associated with alcohol along with non-disclosure of emergency situations to HCPs, there is a likely underestimation of the prevalence of severe glucose episodes. 7,20 Our study also demonstrated this with participants highlighting lack of honesty with alcohol 'stories' to their diabetes HCPs, or not disclosing any episodes for fear of being told off, and judged. Non-disclosure of severe hypoglycaemia linked to driving restrictions may also be the cause.…”

Section: Non-disclosuresupporting

confidence: 54%

“…With glycaemic symptoms and blood alcohol concentration symptoms being comparable (increased confidence, giggling, polyuria, boisterous/loud behaviour, loss of co‐ordination, slurred speech, confusion, nausea and vomiting, loss of consciousness), 19 this is understandable. This link between the feelings of being drunk and hypoglycaemia/hyperglycaemia may be helpful in future patient education regarding cognition and increasing blood glucose awareness, which is only possible by physically testing, scanning or checking an insulin pump connected to continuous glucose monitoring 20 …”

Section: Discussionmentioning

confidence: 99%

“…This link between the feelings of being drunk and hypoglycaemia/hyperglycaemia may be helpful in future patient education regarding cognition and increasing blood glucose awareness, which is only possible by physically testing, scanning or checking an insulin pump connected to continuous glucose monitoring. 20…”

Section: Glucose Risks and Preventionmentioning

confidence: 99%

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Using stories to explore the lived experience of alcohol consumption in people with diabetes mellitus

Charlton,

MacDonald

2023

Practical Diabetes

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Background: Evidence supports the risks of dangerous episodes of hypoglycaemia, hyperglycaemia, or extreme glucose variability in type 1 diabetes during and after alcohol consumption. Minimal evidence regarding preventative self‐care strategies exists, and people with type 1 diabetes can develop personal tactics to overcome risks. Combining the lived experience of managing alcohol consumption while living with diabetes will enrich new patient and health care professional education.Methods: Participants were recruited from social media, and attended between one and three online storytelling workshops. Demographic data were collected by questionnaire, and qualitative data were collected by note‐taking during the online sessions and evaluated by thematic analysis.Results: Nine participants aged 18–36 years (type 1 diabetes = seven [three female], and type 2 diabetes = two [both male]) were recruited. Insulin administration was by multiple daily injection therapy (n=5 including one type 2 diabetes), continuous subcutaneous insulin infusion (n=3) without hybrid closed loop, and sulphonylurea plus morning long‐acting analogue insulin (n=1 type 2 diabetes). From the nine participant stories three diabetic ketoacidosis, three hypoglycaemia, and one extreme glucose variability episodes occurred. Four clustered themes were found: living with diabetes, managing alcohol, app development suggestions, and future development suggestions.Discussion: New insights discovered were: distressing glucose risks including diabetic ketoacidosis episodes, misinterpretation of glucose and intoxication symptoms, trial and error approaches, and non‐disclosure to health care professionals regarding severe glucose situations. Copyright © 2023 John Wiley & Sons.

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Section: Non-disclosuresupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

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Using stories to explore the lived experience of alcohol consumption in people with diabetes mellitus

Charlton,

MacDonald

2023

Practical Diabetes

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“…A large number of studies have provided evidence for the correlation between alcohol consumption and glycemic control ( 40 , 41 ) proving that alcohol consumption is an additional disadvantage in the long-term therapy of T1D patients.…”

Section: Discussionmentioning

confidence: 99%

Dietary Intake and Adherence to the Recommendations for Healthy Eating in Patients With Type 1 Diabetes: A Narrative Review

et al. 2021

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Background: Medical nutrition therapy is essential for all people with diabetes, of any type or severity. Compliance with the recommended nutrition is an integral part of the treatment of type 1 diabetes (T1D). It remains unclear to what extent the dietary intake of patients with type 1 diabetes adheres to the recommendations for healthy eating.Objective: The primary aim of our study is to collect and analyze published articles on the nutrition of T1D patients in comparison with the general population and recommendations.Research Strategy and Methods: A literature search for articles, published between January 2006 and July 2021 was conducted, using electronic databases (PubMed and Google Scholar) for all available publications in English and Bulgarian. The process of study selection, identification, screening, eligibility and inclusion followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) recommendations for a flowchart. Based on the keywords search, 425 titles were retrieved, of which 27 were selected based on title and abstract. All papers were crosschecked and reviewed for selection by 3 independent reviewers. As a result, 19 titles were eligible and met inclusion criteria for a full review.Results: Energy intake tends to be lower in T1D patients or comparable to controls and in most cases within the general recommendations. The percentage of calories from protein is within the recommendations for children, adolescents and adults. Only two studies showed that T1D patients consume significantly less than the recommendation for total fat intake (<35E%). The median intake of carbohydrates is in the lower end of the recommended 45 to 60E%. The median intake of dietary fiber adjusted for total energy is too low for T1D patients and the general population.Conclusion: Study findings suggested a lack of knowledge or misunderstanding of diabetes dietary management. Patients with T1D, who are being consulted with a dietician as a part of their treatment plan may have better compliance to their recommended diet and as a result, are likely to have better health outcomes. Nutritional therapy should focus not only on glycemic control and pure carbohydrate counting but also on healthy eating and complication prevention.

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Diabetes and Mental Health

Robinson¹,

Hanson²,

Jain³

et al. 2023

Canadian Journal of Diabetes

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Glucose patterns following alcohol and illicit drug use in young adults with type 1 diabetes: A flash glucose monitoring study

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 3 publications

References 25 publications

Using stories to explore the lived experience of alcohol consumption in people with diabetes mellitus

Using stories to explore the lived experience of alcohol consumption in people with diabetes mellitus

Dietary Intake and Adherence to the Recommendations for Healthy Eating in Patients With Type 1 Diabetes: A Narrative Review

Diabetes and Mental Health

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