Tobacco, alcohol, and illicit drug use in adolescents with diabetes mellitus

Martínez‐Aguayo, Alejandro; Araneda, Juan Carlos; Fernandez, Daniela; Gleisner, A; Pérez, Virginia; Codner, Ethel

doi:10.1111/j.1399-5448.2007.00307.x

Cited by 61 publications

(58 citation statements)

References 22 publications

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“…However, several other factors such as eating disorders and depression [45], substance abuse [46], insulin omission [45], and/or weight gain, which are frequently observed during adolescence, may be related to inadequate metabolic control.…”

Section: Pubertal Development and Ovarian Function In Girls With T1dmentioning

confidence: 99%

Puberty and Ovarian Function in Girls with Type 1 Diabetes Mellitus

Codner

Cassorla

2008

Horm Res Paediatr

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Insulin is well known for its effects on carbohydrate metabolism, but this hormone also plays an important role in regulating ovarian function. Granulosa, theca and stromal ovarian cells may be affected by insulin deficiency or excess, which may be present in women with type 1 diabetes mellitus (T1D). Recent publications have shown that in spite of intensive insulin therapy, some delay in the age of thelarche, pubarche and menarche is still observed in girls with T1D. In addition, ovarian hyperandrogenism may be observed during late adolescence and an increased prevalence of hirsutism and polycystic ovarian syndrome (PCOS) has been described in adult women with T1D. These endocrine abnormalities may be related to nonphysiologic insulin replacement therapy and to hyperglycemia. This paper reviews the pubertal development and the clinical reproductive abnormalities observed in girls with type 1 diabetes mellitus, and shows that several significant clinical problems, such as pubertal delay, menstrual disturbances and hyperandrogenism which may ultimately lead to the development of PCOS in adulthood, may be observed in some of these patients.

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Section: Pubertal Development and Ovarian Function In Girls With T1dmentioning

confidence: 99%

Puberty and Ovarian Function in Girls with Type 1 Diabetes Mellitus

Codner

Cassorla

2008

Horm Res Paediatr

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“…For adolescents with T1DM, several studies have identified lower prevalence of alcohol and other substance use compared to the general adolescent population [7,8,17], but a more recent survey highlighted that in one clinic-based sample, more than 1 in 3 adolescents with T1DM reported past-year alcohol use and nearly 1 in 2 reported lifetime binge drinking [9]. In this same study, nearly 1 in 5 adolescents with T1DM reported past-month marijuana use.…”

Section: Epidemiology Of Substance Use Among Ycmcmentioning

confidence: 99%

“…In this same study, nearly 1 in 5 adolescents with T1DM reported past-month marijuana use. The lower prevalence of substance use reported in some studies may be due to sampling young adolescents; some data suggests that adolescents with T1DM may have lower prevalence of substance use in their early teen years but have similar prevalence to the general youth population by the end of adolescence [17]. Data from Australia highlight a high prevalence of street drug use among adolescents with T1DM, which is concerning given the appetite-altering effects of many substances with resultant effects on blood glucose levels [18,19].…”

Section: Epidemiology Of Substance Use Among Ycmcmentioning

confidence: 99%

Medical Comorbidity and Complications

Hadland

Walker

2016

Child and Adolescent Psychiatric Clinics of North America

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Like their peers in the general youth population, YCMC are at risk of experimentation and regular substance use, including non-medical use of prescription medications. However, given dangerous disease-substance interactions, the stakes for detecting and intervening on substance use are perhaps even higher for YCMC. Given risk for non-adherence with chronic disease management among substance-using youth, it is incumbent on primary care providers, specialty providers, and behavioral health specialists to be vigilant in asking about substance and providing brief counseling and referral to formal substance use treatment when appropriate. Doing so is not only likely to prevent the direct harm of alcohol and drug use, but also to simultaneously improve chronic disease treatment outcomes.

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“…One of these studies [12], which examined the secular trends in the prevalence of cigarette smoking from 1990 to 2001, showed that significant decreases in the prevalence of cigarette smoking occurred among diabetics aged ≥65 years, but not among young people with the disease. However, a relatively small number of studies, conducted in the US [15,16], Italy [17], and Chile [18], have addressed the prevalence of cigarette use behaviors among diabetic adolescents. Furthermore, hardly any study has investigated the association between cigarette smoking and diabetes status or specific characteristics of the disease, such as age at the time of diagnosis, during the transition to adulthood (AH) using longitudinal data.…”

Section: Introductionmentioning

confidence: 99%

Differences in Cigarette Use Behaviors by Age at the Time of Diagnosis With Diabetes From Young Adulthood to Adulthood: Results From the National Longitudinal Study of Adolescent Health

Bae

2013

J Prev Med Public Health

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ObjectivesPrevious observations propose that risk-taking behaviors such as cigarette smoking are prevailing among young people with chronic conditions including diabetes. The purpose of this study was to examine whether cigarette smoking is more prevalent among diabetics than non-diabetics and whether it differs by age at the time of diagnosis with diabetes from young adulthood (YAH) to adulthood (AH).MethodsWe used US panel data from the National Longitudinal Study of Adolescent Health (Add Health Study) during the years 2001 to 2002 (Wave III, YAH) and 2007 to 2008 (Wave IV, AH). Multivariate logistic regression models were applied to estimate odds ratios (ORs) and 95% confidence intervals (CIs) of cigarette use behaviors according to age at the time of diagnosis with diabetes, after adjusting for demographic and selected behavioral factors.ResultsOf 12 175 study participants, 2.6% reported having been diagnosed with diabetes up to AH. Early-onset diabetics (age at diagnosis <13 years) were more likely than non-diabetics to report frequent cigarette smoking (smoking on ≥20 days during the previous 30 days) in YAH (OR, 3.34; 95% CI, 1.27 to 8.79). On the other hand, late-onset diabetics (age at diagnosis ≥13 years) were more likely than non-diabetics to report heavy cigarette smoking (smoking ≥10 cigarettes per day during the previous 30 days) in AH (OR, 1.54; 95% CI, 1.03 to 2.30).ConclusionsThe current study indicated that diabetics are more likely than non-diabetics to smoke cigarettes frequently and heavily in YAH and AH. Effective smoking prevention and cessation programs uniquely focused on diabetics need to be designed and implemented.

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Tobacco, alcohol, and illicit drug use in adolescents with diabetes mellitus

Abstract: Compared with healthy youth, DM patients use less tobacco, alcohol, and illicit drugs during the first years of adolescence but not later.

Cited by 61 publications

References 22 publications

Puberty and Ovarian Function in Girls with Type 1 Diabetes Mellitus

Puberty and Ovarian Function in Girls with Type 1 Diabetes Mellitus

Medical Comorbidity and Complications

Differences in Cigarette Use Behaviors by Age at the Time of Diagnosis With Diabetes From Young Adulthood to Adulthood: Results From the National Longitudinal Study of Adolescent Health

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