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Updated: Feb 20, 2026

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1型糖尿病青少年双重滥用胰岛素:一个病例报告和管理影响
Sara C Pender1, Mohamed Adil Shah Khoodoruth2,3
1Department of Psychiatry, Western University Schulich School of Medicine and Dentistry, London, Ontario, Canada.
Case reports in endocrinology
|February 19, 2026
概括
患有1型糖尿病的青少年可能滥用胰岛素自伤,包括过量服用. 这一案例强调了使用具有密码锁的胰岛素技术作为心理健康支持的保障.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 糖尿病 技术 技术
背景情况:
- 糖尿病酸性脂肪酸症 (DKA) 影响了加拿大近20%的儿童在最初的1型糖尿病诊断时.
- 青春期因胰岛素抵抗和心理社会因素而带来了独特的糖尿病管理挑战.
- 患有1型糖尿病的青少年有更高的自杀率,并可能滥用胰岛素作为应对机制.
研究的目的:
- 为了说明胰岛素操纵作为一种自我伤害的方法,在1型糖尿病的青少年.
- 突出胰岛素的双重滥用 (遗漏和过量) 以及其与精神病并发症的关联.
- 探索糖尿病技术在防止胰岛素滥用方面的作用.
主要方法:
- 一个15岁的女性患有1型糖尿病的病例报告,并有自杀企图的历史.
- 评估血糖控制,新陈代谢状态和心理社会压力因素.
- 实施多学科干预措施,包括胰岛素调整,密码锁定和精神病管理.
主要成果:
- 患者通过过量胰岛素,轻度DKA和低于最佳的血糖控制 (HbA1c 8.5%) 进行了自杀企图.
- 记录了胰岛素缺失史和更严重的DKA发作.
- 保护措施包括密码保护的胰岛素玻尿酸输送和协调后续护理.
结论:
- 胰岛素操纵是1型糖尿病青少年显著的自我伤害行为.
- 常规评估应包括胰岛素遗漏和过量.
- 配置糖尿病技术可以提高安全性,补充精神病学和心理社会干预措施.
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