Abstract
Substance abuse can disrupt glucose metabolism and increase the risk of undetected hyperglycemia, particularly in vulnerable populations such as inmates. This study aimed to describe fasting blood glucose levels and metabolic characteristics among substance-abusing inmates. A descriptive cross-sectional study was conducted involving 80 inmates selected by total sampling. Data included fasting blood glucose, body mass index, and blood pressure. Descriptive statistical analysis was performed, including mean, median, standard deviation, range, and proportion of hyperglycemia. The mean fasting blood glucose level was 121.3 mg/dL (median 117 mg/dL; SD 22.77 mg/dL; range 84–204 mg/dL). Hyperglycemia was observed in 42.5% of respondents. A proportion of subjects were also classified as obese and hypertensive. Substance-abusing inmates demonstrate a considerable burden of hyperglycemia, highlighting the importance of routine metabolic screening in correctional settings.
Keywords: fasting blood glucose; hyperglycemia; substance abuse; inmates; metabolic risk
References
American Diabetes Association. (2024). Standards of care in diabetes—2024. Diabetes Care, 47(Suppl. 1), S1–S350. https://doi.org/10.2337/dc24-Sint
Grundy, S. M. (2016). Metabolic syndrome update. Trends in Cardiovascular Medicine, 26(4), 364–373. https://doi.org/10.1016/j.tcm.2015.10.004
International Diabetes Federation. (2021). IDF Diabetes Atlas (10th ed.). https://diabetesatlas.org
Kahn, S. E., Hull, R. L., & Utzschneider, K. M. (2006). Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature, 444(7121), 840–846. https://doi.org/10.1038/nature05482
Kim, J. H., et al. (2019). Substance abuse and metabolic disorders: Pathophysiological mechanisms. Journal of Clinical Medicine, 8(6), 875. https://doi.org/10.3390/jcm8060875
World Health Organization. (2016). Global report on diabetes. https://www.who.int/publications/i/item/9789241565257
Ojo, O., Wang, X. H., Ojo, O. O., & Ibe, J. (2018). The effects of substance abuse on blood glucose parameters in patients with diabetes: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 15(12), 2691. https://doi.org/10.3390/ijerph15122691
Zhang, Y., Shu, G., Bai, Y., Chao, J., Chen, X., & Yao, H. (2018). Effect of methamphetamine on the fasting blood glucose in methamphetamine abusers. Metabolic Brain Disease, 33(5), 1585–1597. https://doi.org/10.1007/s11011-018-0265-8
Gozashti, M. H., Yazdi, F., Salajegheh, P., Dehesh, M. M., & Divsalar, K. (2015). Fasting blood glucose and insulin level in opium addict versus non-addict individuals. Addiction & Health, 7(1–2), 54–59.
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