As the prevalence of type 1 and type 2 diabetes increases and population-level patterns of alcohol and illicit drug use evolve, clinicians will continue to encounter people with diabetes whose substance use is affecting health outcomes. Substance use contributes substantially to the population-level prevalence of cardiovascular events, cerebrovascular events, cancers, mental health conditions, road trauma, and domestic violence. Alcohol and drug use also have a measurable effect on diabetes incidence and the development of both acute and chronic diabetes-related complications. In this Review, we examine the effect of alcohol and illicit drug use on people with type 1 or type 2 diabetes. We describe evidence for substance use as a risk factor for new-onset diabetes, prevalence of use in people with diabetes, evidence linking substance use with diabetes-related health outcomes, and evidence on the management of these co-occurring conditions.

中文翻译：

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糖尿病患者使用酒精和非法药物。

随着1型和2型糖尿病的患病率增加以及酒精和非法药物使用的人口水平模式的演变，临床医生将继续遇到其药物使用影响健康结果的糖尿病患者。物质使用在很大程度上导致了心血管事件，脑血管事件，癌症，精神健康状况，道路创伤和家庭暴力的人口普遍流行。饮酒和吸毒对糖尿病的发病率以及与糖尿病有关的急性和慢性并发症的发生也具有可衡量的作用。在这篇评论中，我们研究了酒精和非法药物对1型或2型糖尿病患者的影响。我们描述了物质滥用的证据，这些物质是新发糖尿病的危险因素，在糖尿病患者中普遍使用，