Alcohol and cigarette use among adolescents with type 1 diabetes

作者：Hogendorf Anna M^*; Fendler Wojciech; Sierosawski Janusz; Bobeff Katarzyna; Wegrewicz Krzysztof; Malewska Kamila I; Przudzik Maciej W; Szmigiero Kawko Malgorzata; Sztangierska Beata; Mysliwiec Malgorzata; Szadkowska Agnieszka; Mlynarski Wojciech M

来源：European Journal of Pediatrics, 2017, 176(6): 713-722.

DOI：10.1007/s00431-017-2895-y

• Alcohol
• Cigarettes
• Type 1 diabetes
• Adolescents
• Metabolic control

In this study, we compare the prevalence of alcohol and cigarette use among Polish adolescents with type 1 diabetes mellitus (T1DM) (n = 209), aged 15-18 years, with that of a large cohort of their healthy peers, using standardized questionnaire used in the European School Survey Project on Alcohol and Drugs (ESPAD). The lifetime, previous year, and past 30-day prevalence of alcohol consumption was high among adolescents with T1DM but lower than in the controls (82.8 vs 92.0%, 71.7 vs 85.6%, and 47.5 vs 69.7%, respectively, p < 10(-5)). The lifetime and 30-day prevalence of cigarette use was also lower among patients than the controls (54.6 vs 65.5%, p = 0.001 and 27.3 vs 35.9%, p = 0.012, respectively). Patients who admitted smoking exhibited worse metabolic control than non-smokers (p < 0.0001) and had a higher chance of developing diabetic ketoacidosis. The incidence of severe hypoglycemia was higher among those who reported getting drunk in the previous 30 days (p = 0.04) and lifetime smoking (p = 0.01).
Conclusions: Although alcohol and cigarette consumption is lower than in controls, it is common among teenagers with type 1 diabetes, effecting metabolic control and causing the risk of acute diabetes complications. Better prevention strategies should be implemented in this group of patients in their early teen years.

• 出版日期2017-6