Evidence map›Paper›PMID 34277981›Full record

Observational studyEndocrinology, diabetes & metabolism2021

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

Adam Pastor, Jennifer Conn, Margaret Loh, Casey L O'Brien, Jessie Teng, Sue Finch, Lisa Collins, Richard J MacIsaac, Yvonne Bonomo

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Endocrinology, diabetes & metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Adam PastorDepartment of Addiction Medicine St Vincent's Hospital Melbourne Fitzroy Vic. Australia.ORCID 0000-0003-3468-9208
Jennifer ConnDepartment of Medicine University of Melbourne Parkville Vic. Australia.
Margaret LohDepartment of Endocrinology and Diabetes St Vincent's Hospital Melbourne Fitzroy Vic. Australia.
Casey L O'BrienMental Health Services St Vincent's Hospital Melbourne Fitzroy Vic. Australia.
Jessie TengDepartment of Endocrinology and Diabetes St Vincent's Hospital Melbourne Fitzroy Vic. Australia.
Sue FinchSchool of Mathematics and Statistics University of Melbourne Parkville Vic. Australia.
Lisa CollinsDepartment of Addiction Medicine St Vincent's Hospital Melbourne Fitzroy Vic. Australia.
Richard J MacIsaacDepartment of Medicine University of Melbourne Parkville Vic. Australia.
Yvonne BonomoDepartment of Addiction Medicine St Vincent's Hospital Melbourne Fitzroy Vic. Australia.
The University of Melbourne · AUSt Vincent's Hospital Melbourne · AUThe Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo assess the effects of alcohol and illicit drug use in young adults (age 18-35) with type 1 diabetes (T1D) on flash glucose monitor sensor glucose (SG) readings.

methodsTwenty young adults with T1D were enrolled from a tertiary referral hospital outpatient department in Melbourne, Australia for a 6-week prospective observational study using flash glucose monitoring (FGM). Glucometrics comparing substance using days (SUEDs) to those without substance use (non-SUEDS) were analysed. The primary outcomes were the difference in mean SG values, its standard deviation and minutes/24-h period out of range (SG <3.9 mmol/L or >10.0 mmol/L) between matched SUEDs vs non-SUEDs. An interaction model with the primary effect of HbA1c on SG values was also performed.

resultsThere were no differences in the primary outcome measures between SUEDS and non-SUEDs. However, there were differences in the regression coefficients for HbA1c and glucometrics between non-SUEDs and SUEDs for mean SG, time out of range and time with SG > 10 mmol/L. This difference was also identified between non-SUEDS and days of ≥40 g alcohol for mean SG.

conclusionsWhile there was no difference between glucometrics for SUEDs and non-SUEDs on primary outcomes, HbA1C was found to be a less reliable predictor of glucose patterns in the 24-h period following substance use than control days. Young adults with T1D need to monitor and respond to their glucose levels following substance use and engage in harm minimisation practices irrespective of baseline glucose control.

Indexed as

Alcohol DrinkingBlood GlucoseDiabetes Mellitus, Type 1Illicit DrugsSubstance-Related DisordersAdolescentAdultBlood Glucose Self-MonitoringGlucoseHumansYoung AdultBlood GlucoseGlucoseIllicit Drugsalcohol drinkingdiabetesdiabetes mellitusharm reductionhealth behaviourillicit drugsinterventionssubstance‐related disorders

Identifiers

PMID34277981
PMCPMC8279614
OpenAlexW3160694384

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.