Comparison of Glycated Hemoglobin Levels in Diabetic Psychiatric Patients, Before and During the Covid-19 Pandemic

Introduction The current SARS Covid-19 pandemic has negatively affected primary care and health system services provided to chronically ill patients, such as patients with Diabetes Mellitus Objectives The comparison of glycemic regulation as demonstrated by the levels of glycated hemoglobin HbA1c %...

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Main Authors: M. E. Anagnostaki, I. Anagnostaki, G. Papaspiropoulou
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S092493382301684X/type/journal_article
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author M. E. Anagnostaki
I. Anagnostaki
G. Papaspiropoulou
author_facet M. E. Anagnostaki
I. Anagnostaki
G. Papaspiropoulou
author_sort M. E. Anagnostaki
collection DOAJ
description Introduction The current SARS Covid-19 pandemic has negatively affected primary care and health system services provided to chronically ill patients, such as patients with Diabetes Mellitus Objectives The comparison of glycemic regulation as demonstrated by the levels of glycated hemoglobin HbA1c % in Psychiatric patients monitored at the Psychiatric Hospital of Attica before the pandemic (9/2018 -2/2020) and during its progression (3/2020-2/2022) Methods The study was done retrospectively and included 543 diabetic patients who were examined in Outpatient Clinics during the aforementioned time intervals. HbA1c % levels were measured in peripheral blood and at least two measurements were averaged for each patient. The statistical method used to compare the mean value of HbA1c % was the paired t-test and the level of significance was p<0.05. Results The mean of the mean values of HbA1c % before the pandemic was 7.22% while (sd 6.6-7.9) while during the pandemic period it was 8.56% (sd 7.1-9.9). The t score was calculated as 3.3 with a significance level of p=0.0165 (p<0.05). Conclusions n the present study, a statistically significant increase in the HbA1c % of the Diabetic patients of the Psychiatric Hospital over the last two years is found, which indicates a worsening of the glycemic control of this particular group of patients. It is worth noting that 24 out of 543 (4.4%) missed a scheduled follow-up visit, while the greater variation in HbA1c % values during the second period indicates the varied way the pandemic affected the behavior of psychiatric patients Disclosure of Interest None Declared
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spelling doaj.art-29d9f783bbff4aa8aa6b69de7c3d3ea52023-11-17T05:07:25ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S796S79610.1192/j.eurpsy.2023.1684Comparison of Glycated Hemoglobin Levels in Diabetic Psychiatric Patients, Before and During the Covid-19 PandemicM. E. Anagnostaki0I. Anagnostaki1G. Papaspiropoulou2Internal Medicine Dpt, Psychiatric Hospital of Attika, Athens, GreeceInternal Medicine Dpt, Psychiatric Hospital of Attika, Athens, GreeceInternal Medicine Dpt, Psychiatric Hospital of Attika, Athens, Greece Introduction The current SARS Covid-19 pandemic has negatively affected primary care and health system services provided to chronically ill patients, such as patients with Diabetes Mellitus Objectives The comparison of glycemic regulation as demonstrated by the levels of glycated hemoglobin HbA1c % in Psychiatric patients monitored at the Psychiatric Hospital of Attica before the pandemic (9/2018 -2/2020) and during its progression (3/2020-2/2022) Methods The study was done retrospectively and included 543 diabetic patients who were examined in Outpatient Clinics during the aforementioned time intervals. HbA1c % levels were measured in peripheral blood and at least two measurements were averaged for each patient. The statistical method used to compare the mean value of HbA1c % was the paired t-test and the level of significance was p<0.05. Results The mean of the mean values of HbA1c % before the pandemic was 7.22% while (sd 6.6-7.9) while during the pandemic period it was 8.56% (sd 7.1-9.9). The t score was calculated as 3.3 with a significance level of p=0.0165 (p<0.05). Conclusions n the present study, a statistically significant increase in the HbA1c % of the Diabetic patients of the Psychiatric Hospital over the last two years is found, which indicates a worsening of the glycemic control of this particular group of patients. It is worth noting that 24 out of 543 (4.4%) missed a scheduled follow-up visit, while the greater variation in HbA1c % values during the second period indicates the varied way the pandemic affected the behavior of psychiatric patients Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S092493382301684X/type/journal_article
spellingShingle M. E. Anagnostaki
I. Anagnostaki
G. Papaspiropoulou
Comparison of Glycated Hemoglobin Levels in Diabetic Psychiatric Patients, Before and During the Covid-19 Pandemic
European Psychiatry
title Comparison of Glycated Hemoglobin Levels in Diabetic Psychiatric Patients, Before and During the Covid-19 Pandemic
title_full Comparison of Glycated Hemoglobin Levels in Diabetic Psychiatric Patients, Before and During the Covid-19 Pandemic
title_fullStr Comparison of Glycated Hemoglobin Levels in Diabetic Psychiatric Patients, Before and During the Covid-19 Pandemic
title_full_unstemmed Comparison of Glycated Hemoglobin Levels in Diabetic Psychiatric Patients, Before and During the Covid-19 Pandemic
title_short Comparison of Glycated Hemoglobin Levels in Diabetic Psychiatric Patients, Before and During the Covid-19 Pandemic
title_sort comparison of glycated hemoglobin levels in diabetic psychiatric patients before and during the covid 19 pandemic
url https://www.cambridge.org/core/product/identifier/S092493382301684X/type/journal_article
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