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Legal and Illegal Drugs: What Every Person With Diabetes Should Know Before They Party


Mar 13, 2008

This article was originally published in Diabetes Health in November, 2003.

Archive Favorite! This article originally appeared here in November 2003, but contains so much good information (most of it never before or since printed), that we wanted to be sure this information was available to you.

Perhaps more than anyone, people with diabetes know that the motto “Just say no” often doesn’t work.

No birthday cake?

No cookies and milk with a friend?

No milkshake at McDonald’s?

People with diabetes are as susceptible as anyone to the lure of indulging in junk food. But they can also fall prey to the temptations of getting drunk, smoking cigarettes and marijuana, snorting cocaine, taking Ecstasy and shooting up heroin.

All of these substances are harmful. But just how harmful? And how do they affect blood glucose control?

The Politics and Ethics of Researching Illegal Drugs

The effects of alcohol and nicotine on diabetes are well documented. But the role of marijuana, cocaine and other illicit substances remains less clear.

Uncovering the impact of illicit drugs on blood glucose levels is a difficult task for several reasons.

Most significantly, the drugs are illegal. And that illegality sets up political, ethical and financial obstacles to conducting the kind of controlled, double-blinded studies that produce usable data.

Representatives from the U.S. National Institutes of Health (NIH), the American Diabetes Association (ADA), and the Juvenile Diabetes Research Foundation (JDRF) report that they are unaware of any such studies on the topic of illicit drug use and blood glucose control.

Nonetheless, some diabetes professionals, convinced of the need for such information, have combined their experiences, anecdotal research and knowledge about the general effects of illegal substances to reach some conclusions.

‘It’s Part of Our World’

Dr. Stuart J. Brink, senior endocrinologist at the New England Diabetes and Endocrinology Center and associate clinical professor of pediatrics at Tufts University School of Medicine in Boston, wrote about his findings in the 1987 book “Pediatric and Adolescent Diabetes Mellitus” (Year Book Medical).

“Good people,” he noted, will nevertheless sometimes “get drunk and get high. It’s part of our world, and people with diabetes do it too.” In the early 1980s, Keith Campbell, a pharmacist and diabetes educator, summarized interviews with 100 users of illicit drugs at Emory University Hospital in Atlanta, Georgia. People with diabetes certainly made up a portion of that group.

In the first of a three-part series titled “Recreational Drugs and Diabetes,” published in several medical journals in the mid-1980s, Campbell wrote:

“If a high percentage of individuals in society at large use drugs for recreational purposes, it seems logical to assume that the same would hold true for a similar percentage of patients with diabetes. This can cause a problem for the patient with diabetes, and it seems to be a subject that is difficult to discuss with the healthcare advisor. The difficulty in communication between diabetic patients and healthcare practitioners regarding recreational drug use results in a system that basically avoids the problem.”

‘Getting Stoned Is Far Safer for People With Diabetes Than Getting Drunk’

Brink agrees that alcohol and illegal drug use by people with diabetes isn’t studied or talked about enough. But the subject comes up every day in his practice, which includes more than 400 pediatric, adolescent and young adult patients. For up to 90 percent of his teen patients, alcohol and drug use is an issue, albeit mostly related to peer pressure.

“Getting stoned is far safer for people with diabetes than getting drunk, and that’s the kind of medical fact parents don’t like to hear because it sounds like you’re giving permission,” he says. “I give information, and I give choices. Ultimately, [my patients] have to decide.”

Brink notes that certain drugs can slightly raise or lower blood glucose. Uppers, for example, such as cocaine, can raise blood glucose.

Although marijuana is not considered an upper, it seems to increase blood glucose slightly.

But Brink and others have found that the actual effect of a given substance is extremely variable from person to person. In addition, the potency of illegal substances varies widely because they are manufactured illicitly, without controls or standards. Medical professionals emphasize that people with diabetes must always be sure to test blood glucose if they are using an illicit drug.

Harmful in Many Ways

“People want to know, how many drinks can I have? Or how many joints can I smoke? And is it going to kill me?” reports Campbell, who is also associate dean and professor of pharmacotherapy at Washington State University in Pullman, Washington.

“It depends on a lot of things,” he explains. “Pharmacologically, there’s really only a minor effect [of drugs on blood glucose], but the effect on the brain is the real concern.”

In fact, Campbell stresses, diminished brainpower and subsequent diabetes mismanagement are the chief culprits in pushing blood glucose way out of range.

A 1998 study published in the Archives of Internal Medicine determined that cocaine use was a risk factor for diabetic ketoacidosis, either because of its effects on counter-regulatory hormones or because of the individual’s subsequent tendency to omit insulin doses.

According to Diabetes New Zealand, a national nonprofit organization, taking street drugs or marijuana can indirectly affect blood glucose levels because of the drugs’ effect on the brain. For example, users might not recognize symptoms of low blood glucose (hypoglycemia) or might mistake such symptoms for the effects of the drug.

Marijuana might cause a user to eat more food, whereas cocaine use might result in a lowered appetite.

Ecstasy can produce seemingly boundless energy, although the user may not feel the need for rest or food-a situation that can lead to hypoglycemia.

For people with diabetes, fluctuations in the amount of food eaten or energy expended require frequent blood glucose testing and the ability to make important decisions about insulin and food intake. Illicit drugs, however, can affect an individual’s perception of reality and time as well as his or her judgment.

Despite recreational drugs’ profound impact on the brain, Brink advises users to test blood glucose often and react accordingly. He and other diabetes professionals acknowledge the irony, but stick by the advice because it’s the best they can offer if their attempts to counsel patients to avoid illicit substances don’t work.

Campbell believes that most recreational drug users are capable of diabetes management.

“Those who are experimenting and not addicted are capable of following that advice,” he says.

Some Drugs Make Complications Worse

Beyond the effect on blood glucose or brainpower, certain drugs can exacerbate diabetes-related complications.

Researchers at McLean Hospital in Belmont, Massachusetts, writing in the May 2002 issue of the American Journal of Cardiology, report that frequent cocaine use “triggers a dangerous series of events linked to risk of heart attack and stroke.” Cocaine constricts blood vessels and increases blood pressure-adding to the increased risk of heart attack and stroke that people with diabetes already face.

Alcohol: A Legal Drug

Because alcohol is legal, its effect on diabetes control, including the increased risk of hypoglycemia up to 24 hours after consumption, has been well documented.

As Richard Furlanetto, scientific director of the Juvenile Diabetes Research Foundation, observes, the effect of alcohol is easy to predict, but the extent of the effect can be more complicated.

“Everyone needs to know their own body’s reaction to alcohol,” Furlanetto cautions. “My message is to [drink] with friends, in moderation, and learn what is safe for you.”

According to Diabetes New Zealand, alcohol is the most common drug that can put you at risk of hypoglycemia because it blocks the liver’s ability to produce glycogen. Glycogen is a storage form of carbohydrate found in the liver and muscles, which can be needed to quickly raise blood glucose levels. In addition, alcohol blunts an individual’s ability to manage diabetes care and recognize hypoglycemia.

Brink argues that alcohol use is particularly dangerous for people with diabetes because of its lingering effect and its impact on the liver. Also, alcohol prevents the liver from responding to a glucagon injection, which is used to treat severe alcohol induced hypoglycemia.

“The liver gets busy” dealing with the alcohol, he explains, “and if you need it to make glycogen, you’re in deep trouble. What would be a mild hypoglycemic situation becomes the devil.”

Despite the problems, there seem to be potential health benefits associated with mild drinking for people both with and without diabetes. Some studies have shown that, in adults with diabetes, regular consumption of light to moderate amounts of alcohol is associated with reduced risk of heart disease, possibly related to an increase in HDL (“good”) cholesterol.

Some people with diabetes should not drink at all, however. This group includes individuals who also have liver disease, high triglyceride levels, pancreatitis, or heart or kidney diseases; pregnant women; type 1s who are prone to hypoglycemia; type 2s who have chlorpropamide-alcohol flush; or anyone who has suffered from alcoholism.

Alcohol - More Foe Than Friend

If you plan to drink, the American Diabetes Association (ADA) recommends that you do the following:

·         Obtain your doctor’s approval

·         Discuss medication interactions with your doctor

·         Consume alcohol with food

·         Limit your daily intake to one drink for adult women and two drinks for adult men (12 oz of beer, 5 oz of wine, or 1.5 oz of distilled spirits), since the specific effects of alcohol on people with diabetes are related to how much they consume

·         Avoid mixes containing sugar

·         Test your blood glucose regularly and often

Jean Betschart Roemer, MSN, RN, CPNP, CDE, author of “In Control: A Guide for Teens With Diabetes” (Wiley, 1995) and “Type 2 Diabetes in Teens: Secrets for Success” (Wiley, 2002), adds this advice:

·         Always wear your medical ID

·         Sip your beverage slowly

·         Make your own drink so that you know what it contains

·         Test your blood glucose especially often if you are exercising or dancing

·         Set an alarm and check your blood glucose during the night after drinking

·         Drink with a friend or someone who knows about your diabetes and how to treat low blood glucose

·         Never drink and drive

Effects of Legal and Illegal Substances on Diabetes Control

Alcohol

·         Impairs judgment; can affect an individual’s resolve to maintain tight control.

·         Burns like fat and contains almost as many calories per gram as fat (7 calories per gram of alcohol, 9 calories per gram of fat).

·         Promotes hypoglycemia and impairs the manufacture, storage and release of glycogen. (Even one alcoholic beverage on an empty stomach can send blood glucose plummeting, raising the risk of sudden hypoglycemia and possibly even loss of consciousness. The risk of low blood glucose can persist for hours after alcohol consumption, especially if little or no food is consumed.)

·         Could delay needed treatment for low blood glucose, since hypoglycemia and inebriation appear deceptively similar.

·         Interacts with other drugs such as chlorpropamide. (Some diabetes medications stipulate limits on alcohol consumption.)

Tobacco Smoking

·         Serves as a potent vasoconstrictor (narrowing fragile blood vessels).

·         Significantly influences oral and intravenous glucose tolerance tests.

·         Increases the risk of eye disease, kidney disease and impotence.

·         Can decrease insulin absorption.

·         Increases the risk of high blood pressure, heart disease and stroke.

·         Can exacerbate nerve disease.

·         Increases the risk of limb amputation. (Smokers account for an estimated 95 percent of all diabetic limb amputations.)

Marijuana

·         (Its effect is highly related to dosage, but the strength of the main active chemical in marijuana, known as THC, delta-9-tetrahydrocannabinol can vary widely.)

·         Some users report that smoking Marijuana lowers their blood glucose by 40 points, which can lead to hypoglycemia

·         Causes problems with memory, concentration, sensory and time perception, coordinated movement and problem solving, which may affect control.

·         Increases appetite and can cause overeating and subsequent hyperglycemia.

·         Impairs short-term memory during intoxication.

·         Can cause profound impairment when mixed with alcohol.

·         Can impair glucose tolerance and cause hyperglycemia when heavily used.

Amphetamines/Cocaine/ Psychedelics

·         Can increase blood glucose and change eating habits.

·         Can cause high blood glucose as a result of increased liver glycogen breakdown (highly variable among individuals).

·         Alters perception, which can affect the ability to manage diabetes.

Opiates/Heroin

·         Can change eating habits, which can affect blood glucose.

·         Alters perception, which can affect the ability to manage diabetes.

SOURCES: Gopi Memorial Hospital, India; “Recreational Drugs and Diabetes,” by R. Keith Campbell, RPh, and Gwen G. Rushman, MN, Practical Diabetology, September/October 1985; Diabetes New Zealand; American Diabetes Association.

What Alcohol and Drugs Can Do to You - A Tale of Two People With Diabetes

In 1984, Mary Tyler Moore became the first person with diabetes and substance abuse problems to seek help at the Betty Ford Center. Moore broke her silence about her drug and alcohol addiction, and its successful treatment, in her 1995 autobiography “After All” (Bantam Dell). She has continued her successful acting career and now serves as the international chairman of the Juvenile Diabetes Research Foundation.

Moore’s story is just one example of how someone with diabetes can overcome drug and alcohol problems.

A 44-year-old Southern California man we’ll call James is another.

James has had diabetes for 30 years. He has impaired kidney function, some signs of retinopathy and celiac disease. He doesn’t know whether his complications from diabetes are related to his abuse of several drugs, including cocaine, Vicodin, Valium and amphetamines.

Before his recovery more than a year ago, James often missed appointments with his Los Angeles endocrinologist, Anne Peters Harmel. When he did manage to arrive at her office, it was abundantly clear that he was out of control.

He sporadically tested his blood glucose and lied to Harmel about why things were going wrong. While using drugs, James suffered severe lows and highs, resulting in two car accidents. Once he ended up in the hospital for four days with ketoacidosis.

“I tended to not notice hypos as much. The drugs would cover up or confuse the symptoms,” James recalls. “On amphetamines, my blood glucose could be in the teens or 20s, and I would be totally functioning. I would test my blood glucose, and it was 17, and I had just driven home. It’s like [the drugs] made you more capable of walking closer to the edge of the cliff.”

Once he told the truth about his drug use and got treatment, James and his doctor could begin treating his diabetes.

Harmel admits that trying to help James was difficult, to say the least.

“I tried to give general guidelines about being sure he ate something and gave his insulin. But I felt that my advice wouldn’t be followed when he was at his worst. I would get calls from ERs or rehab centers rather than seeing him in clinic. I think the best I could do was to make sure he wore his MedicAlert bracelet and hope that if he went into DKA, someone would take him to the ER.

“Fortunately, rehab worked, and now he is able to take care of his diabetes again.”

Endocrinologist Stuart Brink points out that James’s story is a good example of how a drug addict who has diabetes differs from someone who is capable of testing blood glucose and managing diabetes while using recreational drugs.

“Hard drug addicts are much different than those experimenting or occasionally getting stoned,” Brink notes. “When you’re an addict, taking care of your diabetes is so far down the priority list. The next hit is life or death. The [chronic complications of] diabetes don’t hit for another 20 years.”


Categories: Amphetamines, Blood Glucose, Blood Sugar, Diabetes, Diabetes, Food, Inspiration, Insulin, Losing weight, Low Blood Sugar, Pharmacy, Type 1 Issues, Type 2 Issues



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Comments

Posted by Anonymous on 14 March 2008

Marijuana is strongly fat soluble and so is very slow acting. Regular pot smokers know that marijuana can be detected in the body for much longer than a month after they quit smoking it.

Because of this effect, marijuana is extremely insidious and dangerous. Since marijuana is stored in the body, a person who smokes pot regularly is sedated all the time, 24 hours a day, seven days a week, even though they may smoke pot only on weekends. Just look at the blank stare of the regular pot smoker.

Since the regular pot smoker is sedated all the time, he soon supplements his pot smoking with heavy use of alcohol and every other drug he can find, including extacy, cocaine, and all the rest.

Any diabetic or non-diabetic who thinks he can handle marijuana safely will eventually learn he has made a serious and often fatal mistake.

Posted by Anonymous on 15 March 2008

Thanks Diabetes Health for addressing this subject. Being a Type 1 and studing human nature, it is natural for a person to seek a high off of things. Food, sex, drugs, alcohol, exercise, ect..., In my oppinion if it's man made it isn't good. ANY illigal man made drug is junk. Alcohol in very limited amounts is still not a good choice. Marijuana however is a pure nautral choice with no lasting or detrimental effects.
It should be legalized. Give the government their cut and be done with it

Posted by theorganizingguy on 15 March 2008

In the above article is states that "some people with diabetes should not drink at all... including individuals with high triglyceride levels." Why is the risk higher for that group? What is the connection? Thanks

Posted by slm01201 on 20 March 2008

do NOT take ecstasy, it will kill you. maybe not the first time or even second time, but it causes your body to start burning energy and you will be sorry. That's a promise.

As for the 'anonymous' person who posted about marijuana, you are wrong in many ways. First of all someone who only smokes on a weekend is NOT "sedated" all the time. A regular smoker isn't sedated 24/7. Sounds like you just have some sort of personal problem with it.

The danger of smoking pot is very similar to the danger of smoking cigs, plus the dangers its use presents to anyone whether diabetic or not.

Posted by Anonymous on 25 March 2008

I smoke every day, and drink every day. I am an accomplished engineer, have had several papers published, am a scuba divemaster, white water rafter, backcountry snowboarder, and canyoneer. I'm a type 1, with a Ha1C = 5.7

I'm certainly not 'sedated' all the time...


Marijuana use is NOT fatal! XTC wont kill you. Alcohol might. Enjoy life, and everything in moderation.

Posted by Anonymous on 28 March 2008

The active ingredient in marijuana, which is THC, is stored in body fat, and is slowly released back into the blood with a half life of one week. It takes one week for stored THC to drop to half, two weeks to drop to one-quarter, etc. If a regular smoker quits pot, THC can easily be detected in his body one month after he quits smoking pot.

A regular pot smoker does not realize that he is sedated all the time, but his actions show that he is. The HIGH sensation from pot acts quickly, but the subtle sedation is long-acting. A pot smoker once told me, “I don’t get much of a HIGH from pot, but I smoke it because it makes me feel good all the time”.

Because marijuana acts over a period of weeks, its long-term effects are extremely insidious and dangerous. The regular pot smoker almost always uses other psychoactive drugs that operate much more rapidly, and so we commonly blame these other drugs for damage that is really being caused by marijuana.

Posted by Anonymous on 1 April 2008

I smoke marijuana exclusively. I am Type 1 and have excellent a1cs. I don't drink alcohol, and I have never been remotely tempted to try any other drugs. Marijuana is certainly no more toxic than alcohol. What about people who are regularily sedated on cold medication, or anxiety drugs, or lots of caffeine? I choose the "subtle sedation" of marijuana rather than the harsher, side-effect laden sedation of prescription drugs because I have learned that this works best for me. It is unreasonable to make a blanket judgement about a drug. Everyone's chemistry is different, after all.

Posted by Anonymous on 15 April 2008

I smoke Marijuana everyday and it is not a good thing but it is not a bad thing either everyone has there own opinions personaly i think it is just a plant that calms you down and makes you feel good but is not good for your lungs.

Posted by Anonymous on 17 April 2008

I'm just happy that this article was written. Life is full of wonderful experiences, including ones that help me escape from the daily woes of living with diabetes (like occasional drug or alcohol use - ecstasy is amazing). Knowing what you're putting in your body, being responsible, and everything in moderation are keys to having fun in a safe way. I agree with others above that marijuana and Ecstasy won't kill you. Enjoy life!!

Posted by Anonymous on 17 May 2008

first poster

You sir are very ignorant

METABOLITES of the thc stay in your body fat

check your facts

Posted by Anonymous on 18 June 2008

There need to be more articles like this. A do a few different drugs on a regular basis, and as long as you know your limit and have someone with you, it's fine. Please realize that just because it's illegal, doesn't mean it's bad. The most dangerous drug I ever took, which caused frightening mental side effect, was prescribed by my doctor.

Posted by Anonymous on 2 July 2008

I have type 1 and (unfortunately?) use drugs probably more than I should. My Ha1cs aren't great but they're certainly not awful and my clinic attendance isn't great either but it never has been even when I didn't use drugs.

There DEFINITELY needs to be MORE ARTICLES LIKE THIS. All the medical professionals I've met who know about my drug use have never been able to provide me with any real information about diabetes and drugs. They do provide substantial enough advice on drinking and diabetes and many have said they'd be much more concerned if I was drinking regularly (I rarely drink, since I turned 18 a few weeks ago it's been 4-5 pints a week, before that it was about that much every 4 months) rather than using drugs. There is a worrying shortage of information on drugs for diabetics.

p.s. Everybody refers to THC as the active ingredient in cannabis however it's THC and Cannabinoids that get you 'stoned'. THC on its own makes you feel all horrible and paranoid but when combined with Cannabinoids it just makes you feel damn nice!

Posted by Anonymous on 16 July 2008

I have type 1 Diabetes and, up until about 2 months ago, smoked Cannabis regularly. I'll say it now to clear that up, although I was smoking every day, I'd have maybe 4 or 5 spliffs, and only 2 or so if there was nobody to share with, per day. I enjoyed regular blood results between 6.0 and 10.0 (mmol/L) day & night, a healthy appetite, fast recognition of high/low blood sugar, and even confidence in my control of Diabetes.

Now, I smoke perhaps 4 joints a week, if that, and am sober 95% of the time. I now have no control whatsoever. At first I decided to just push through it, believing that once my body was used to such low consumption of Cannabis it would sort itself out (the 'rehabilitation phase').

But a couple of months on, and I wake up & go to bed hypoglycaemic every day (I mean E-V-E-R-Y day), with readings above 20.0 throughout the rest of the day. I find it almost impossible to eat one meal a day, feel ill merely at the thought of food (which certainly isn't good for me!), and habitually panic about my insulin doses. So I'm off to the doctors tomorrow! A vague thought at the back of my mind tells me that quitting (well, hugely reducing) Cannabis perhaps wasn't the best decision I've made.

Obviously that's not the be-all, end-all of the matter, there are other things to take into account, such as changes in mood, exercise, etcetera, but not so much has changed so far as I'm aware.

Perhaps if our governments weren't so interested in having bigger roads, stronger commerce and being 'better' than each other, some money might go into some REAL research into Cannabis (and every drug. Look at the side effects of Paracetamol, for instance. One tiny chemical change could potentially remove all of them!), we might open up a whole new world of medication. The people up top should stop pussy-footing around what they think is right or wrong and set up a proper study with some decent scientists who give real information without worrying about what the law says about their work. They're looking for innovations in medicine, not a virus to wipe out our whole damn race!

Posted by Anonymous on 4 August 2008

After reading all that i would just like to say i started taking drugs about a year after getting type 1 diabetes.
I regularly take xtc smoke weed all the time drink all the time n to be honest i survive.
I sumtimes end up in hospital with bad diabetes control but after taking drugs for like 4 year the only thing i have reolized is my menality has changed and for the worst.
i now actually think i am going insaine and am doing things that could get me killed.
i dont know if its me the diabetes or the drugs but it is quite concerning to me and i just wanted to know if i am alone in this matter
cheers x

Posted by Anonymous on 9 August 2008

very good, kindly suggest the depth that should go into skin(subcutenaous)to have insulin injection efectively ,as i am feeling much difference(insulin injection inefficiency) if the needle is pierced just a little bit more into the thigh accidentlly. what is right depth to have more effective of insulin injection. I am medium well built, t2 since 12 years, on injection since 2 years( 36 iu before breakfast and 26 iu before dinner). and also let me why readings on gluco meter shows high after moderate excercise on fasting(fasting 150 nml @ 7 a.m and fasting 220 nml @ 830 a.m.; and after breakfast 200 nml at 1030 a.m. on the same day) anyone kindly reply

Posted by Anonymous on 11 August 2008

I think have type 2 Diabetes, and i've been using cocaine frequently the last few months. when i get tested for diabetes, will that show up in my tests? i have been putting off going to the doctor because i'm scared my insurance won't cover me if i'm discovered to be using drugs. can somebody help me out? thanks in advance

Posted by Anonymous on 24 August 2008

i am a type one diabetic,
and i smoke weed everyday
on days that i do not smoke herb,
i find my bloodsugar to be sporadically out of control.
I live in a state that allows medical marijuana usage
but i do not believe that they allow it for diabetics
i believe this should change.
thanks

Posted by Anonymous on 27 August 2008

Over eating carbs and not taking enough insulin to cover them is probably more dangerous than occasional pot/alcohol use.
We are faced with food choices daily, and, if you love food like me, that's HARD !
If you want to have an occasional "high" just keep checking your glucose levels, and take your food/insulin accordingly.
I would like a comment from the "perfect" diabetic.....I have yet to meet one.
God bless you all !

Posted by Anonymous on 9 September 2008

my ex boyfriend drinks, smokes and does cocaine. So is this telling me he will be fine? He has had it since he was 10 and now he is 30. When does the eye, kidney and every other problem start and most importantly th ERECTILE DYSFUNCTION ???? Has anyone had these or more problems at 30 to 35 yrs old? PLEASE LET ME KNOW !!!!

Posted by Anonymous on 26 September 2008

I have a question for a family member who has dibetease and uses cocaine i would like to know how bad it is for this person to do this

Posted by Anonymous on 13 October 2008

(im from australia)i drank 8 375ml bottles ova a longish period of time and ended up in hospital (not the reason why) i too smoke herb and cigeretts and have real bad control hba1c is 14 and has been for 10months i dnt drink often 3 times this yr if that i think my problem is eating food and not givin insulin for it (well that is my problem) (thats why i was in hospital)so drugs and drink hasnt affected my diabeties IT'S ME

p.s im creating a blog soon so diabeticz can blog bout our condition i will post it around bebo face book my space and other forms ov awarness for it


take care and love life ALL DIABETICS SHOULD BE ON A INSULIN PUMP FOR FREE

Posted by Anonymous on 13 October 2008

(im from australia)i drank 8 375ml bottles ova a longish period of time and ended up in hospital (not the reason why) i too smoke herb and cigeretts and have real bad control hba1c is 14 and has been for 10months i dnt drink often 3 times this yr if that i think my problem is eating food and not givin insulin for it (well that is my problem) (thats why i was in hospital)so drugs and drink hasnt affected my diabeties IT'S ME

p.s im creating a blog soon so diabeticz can blog bout our condition i will post it around bebo face book my space and other forms ov awarness for it


take care and love life ALL DIABETICS SHOULD BE ON A INSULIN PUMP FOR FREE

Posted by Anonymous on 11 January 2009

i don't know if anyone has anything that can help me, my mother has diabetes and she was told recently by her diabetic doctor that if she keeps up what shes doing shes going to go into diabetic shock, have a stroke or lose a limb in 5 years. the thing the doctor doesn't know is that she does coke every weekend along with getting drunk and smoking cigerettes, not only does she do that but she eats the things she knows she not allowed to and all i want to do is save my mom from dying. i just want her to see her only daughter get married and have kids one day...if anyone can tell me if this is why shes been having lows like 30 and highs like 350 and then goes back to low again and has had this for the past four years it would be much appreciated if anyone has any advise on how to get her healthy again.thank you and i hope to hear your comments...

Posted by Anonymous on 23 January 2009

Well Ive had diabetes since I was 16 yrs, Im now 30 yrs..Im an everyday smoker (green) and on occasions I like to do some white, I drink on weekends, and just get down, I know this must suck to say but after I smoke, I actually feel a lil energetic I get up and start cleaning, I been smoking for like 2 years straight.., Im very concerned and Im not proud of this, I keep to myself alot, but I have noticed that recently Ive forgotten so many things..I really think its time to chill w the smoke, but overall, Iam worried..but I really need to know is what kinda effect its gonna give me in the long run..I need to know this! Please..Thanks!

Posted by Anonymous on 14 February 2009

I'm a very heavy crack cocaine smoker and and my blood sugar levels are running constantly high, even though I'm taking my meds and are not eating even a fifth of what I'd eat if I wasn't using drugs. So if you are diabetic, I'd highly advise staying away from heavy use of cocaine or crack.

Posted by Anonymous on 4 June 2009

The article menitioned "...related to his abuse of several drugs, including cocaine, Vicodin, Valium and amphetamines..."

I'm perscribed Valium, I take Vicodin daily, and I also do a few lines/bumps of coke everyday. I also smoke cigs, but not pot. My A1C's are almost always 6.0 - 6.7 (I don't remember having one higher than that in the last 20 years). I eat and take my shots and think I'm on top of my diabetes. So I may be an exception, but I think drugs should be in the rule book like everything else for diabetics: Moderation is the key.

Posted by Anonymous on 24 August 2009

First of all, what a fantastic article! There definitly should be more articles like this. Secondly, to the first poster, think for yourself. Do research. Don't just blindly hate something because you are told to. My boyfriend smokes plenty of pot, and I never find him to be "sedated". I find him to be intellectual, happy, patient, talkative, kind etc etc when he's stoned. For the occasional pot smoker yes, they may seam slightly sedated, but it really all depends on the person.not to mention, most of society is sedated by harsh legal prescription drugs like antidepressants. Not to mention the fluoride in our drinking water, fluoride is used in a lot of common antidepressants to sedate people.in regards to drugs and alcohol with diabetes, I find alcohol can be much more damaging. I've never done any harsh drugs, but I have drank and smoked pot. My only problems with my blood sugar when I smoke pot is that I crave popcorn, and when I eat before bed, sober or not, my blood sugar skyrockets through the night. So with pot, yes sometimes my blood sugar is high, but that's due to my lack of willpower and not the pot itself. Usually with alcohol my blood sugar is fine, but if I drink too often, I can feel the damage to my kidneys. So in my opinion it just comes down to moderation, knowing your limits, and willpower.

Posted by Anonymous on 5 January 2010

my daughter is a type 1 diabetic and we just brought her home from being in ICU for days after taking ecstasy. we almost lost her. the long term effects are unknown.
it IS a big deal!

Posted by Anonymous on 1 September 2012

I have been searching for hours trying to find information like this...my 21 yr old daughter newly dx with Type 1 became so depressed when diagnosed she turned to heroin.. can anyone point me to more?


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