Gaurav Mehta1, Alyssa Hirji2. 1. Department of Psychiatry, University of Toronto, Newmarket, Ontario, Canada. Electronic address: gmehta@southlakeregional.org. 2. Department of Psychiatry, University of Toronto, Newmarket, Ontario, Canada.
Abstract
OBJECTIVE: Structured diabetes education for patients is a cornerstone of therapy; it empowers the patients by giving them appropriate tools for the self-management of the illness. The objective of this work was to determine how substance use disorder influences the outcome of structured diabetes education in patients with type 2 diabetes mellitus, and whether patients with substance use disorder are less likely to benefit because of their addiction issues. METHODS: Only clinical trials involving substance use, which were randomized, in the context of type 2 diabetes mellitus were included. RESULTS: Literature was only available for alcohol use disorder, and there were no studies available on any other recreational substance use disorders and its effects on structured diabetes education. Out of 3 relevant studies, in the context of alcohol use disorder, 2 studies identified alcohol use by the patients as a limiting factor in receiving structured diabetes education. One study did not show any impact of alcohol on structured diabetes education. CONCLUSIONS: More high-quality randomized controlled trials with better sample sizes are required to say with confidence if alcohol use affects the patient's ability to participate in structured educational programs for type 2 diabetes mellitus management.
OBJECTIVE: Structured diabetes education for patients is a cornerstone of therapy; it empowers the patients by giving them appropriate tools for the self-management of the illness. The objective of this work was to determine how substance use disorder influences the outcome of structured diabetes education in patients with type 2 diabetes mellitus, and whether patients with substance use disorder are less likely to benefit because of their addiction issues. METHODS: Only clinical trials involving substance use, which were randomized, in the context of type 2 diabetes mellitus were included. RESULTS: Literature was only available for alcohol use disorder, and there were no studies available on any other recreational substance use disorders and its effects on structured diabetes education. Out of 3 relevant studies, in the context of alcohol use disorder, 2 studies identified alcohol use by the patients as a limiting factor in receiving structured diabetes education. One study did not show any impact of alcohol on structured diabetes education. CONCLUSIONS: More high-quality randomized controlled trials with better sample sizes are required to say with confidence if alcohol use affects the patient's ability to participate in structured educational programs for type 2 diabetes mellitus management.
Keywords:
alcohol use disorder; barriers; diabète sucré de type 2; enseignement structuré; mental health; obstacles; santé mentale; structured education; substance use disorder; trouble lié à la consommation de substances; trouble lié à la consommation d’alcool; type 2 diabetes mellitus