Clinicians feel comfortable discussing alcohol but not illicit drug use with young adults with Type 1 diabetes: a survey of clinicians

Type 1 diabetes is a common condition of young adulthood, characterized by autoimmune destruction of insulin-producing pancreatic β cells and requiring lifelong administration of insulin [1]. Young adults with type 1 diabetes consume alcohol and recreational drugs at rates similar to their peers [2], however, this use is associated with higher rates of hospitalization and mortality relative to young adults without type 1 diabetes [3,4].

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