糖尿病和成瘾性疾病

Y. Balhara, S. Bajaj, M. Tiwaskar, A. Joshi, V. Deshmukh
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引用次数: 0

摘要

糖尿病患者(1型和2型)成瘾性障碍的患病率为9.6 ~ 29%。糖尿病患者过度和有问题地使用精神活性物质导致血糖控制不良,并经常出现高血糖危象。烟草、酒精、大麻、苯二氮卓类药物、吸入剂和兴奋剂是印度糖尿病患者常用的精神活性物质。患有糖尿病的男性和女性每天饮酒不应分别超过15克和30克乙醇。糖尿病患者不建议使用其他精神活性物质。目前存在各种用于评估药物滥用的筛查工具,如WHO-ASSIST、酒精使用障碍识别测试(AUDIT)、Fagerström尼古丁依赖测试(FTND)和阿片类药物风险工具。建议对同时发生的成瘾性障碍和糖尿病进行综合管理。物质的社会心理治疗包括简短干预(BIs)、动机性访谈、应急管理、复发预防和认知行为治疗
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diabetes and Addictive Disorders
Abstract Prevalence of addictive disorders among persons with diabetes mellitus (DM) (type 1 and type 2) ranges from 9.6 to 29%. Excessive and problematic use of psychoactive substances in persons with diabetes results in poor glycemic control with frequent hyperglycemic crisis. Tobacco, alcohol, cannabis, benzodiazepines, inhalants, and stimulants are common psychoactive substances used among persons with diabetes in India. The daily use of alcohol by men and women with DM should not exceed 15 and 30 g of ethanol, respectively. Use of other psychoactive substances is not recommended for persons with DM. Various screening tools exist for assessing substance abuse like WHO-ASSIST, Alcohol Use Disorders Identification Test (AUDIT), Fagerström Test for Nicotine Dependence (FTND), and Opioid Risk Tool. Integrated management of co-occurring addictive disorder and DM is recommended. Psychosocial treatments for substances include brief interventions (BIs), motivational interviewing, contingency management, relapse prevention, and cognitive behavior therapy
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