Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients
ABSTRACT Objective: The effects of the COVID-19 pandemic on the control of diabetes mellitus in patients are largely unknown. In this study we aimed to analyze the impact of the pandemic and the ensuing lockdown on the management of type 2 diabetes mellitus. Subjects and methods: A total of 7,321p...
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| Format: | Article |
| Language: | English |
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Brazilian Society of Endocrinology and Metabolism
2023-05-01
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| Series: | Archives of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972023000400210&lng=en&tlng=en |
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| author | Mehmet Ali Eren Ataman Gönel Hüseyin Karaaslan Nida Uyar Çiğdem Cindoğlu Tevfik Sabuncu |
| author_facet | Mehmet Ali Eren Ataman Gönel Hüseyin Karaaslan Nida Uyar Çiğdem Cindoğlu Tevfik Sabuncu |
| author_sort | Mehmet Ali Eren |
| collection | DOAJ |
| description | ABSTRACT Objective: The effects of the COVID-19 pandemic on the control of diabetes mellitus in patients are largely unknown. In this study we aimed to analyze the impact of the pandemic and the ensuing lockdown on the management of type 2 diabetes mellitus. Subjects and methods: A total of 7,321patients with type 2 diabetes mellitus (4,501 from the pre-pandemic period, 2,820 from the post-pandemic period) were studied retrospectively. Results: The admission of patients with diabetes melitus (DM) decreased significantly during the pandemic (4,501 pre-pandemic vs. 2,820 post-pandemic; p < 0.001). The mean age of patients was statistically lower (51.5 ± 14.0 vs. 49.7 ± 14.5 years; p < 0.001), and the mean glycated hemoglobin (A1c) level was significantly higher (7.9% ± 2.4% vs. 7.3% ± 1.7%; p < 0.001) in the post-pandemic period than in the pre-pandemic. The female/male ratio was similar in both periods (59.9%/40.1% for pre-pandemic, 58.6%/41.4% for post-pandemic; p = 0.304). As calculated by month the pre-pandemic rate of women was higher only in January (53.1% vs. 60.6%, p = 0.02). Mean A1c levels were higher in the postpandemic period than in the same month of the previous year, excluding July and October (p = 0.001 for November, p < 0.001 for others). Postpandemic patients admitted to the outpatient clinic were significantly younger than prepandemic visits for July (p = 0.001), August (p < 0.001) and December (p < 0.001). Conclusion: The lockdown had detrimental effects on blood sugar management in patients with DM. Hence, diet and exercise programs should be adapted to home conditions, and social and psychological support should be provided to patients with DM. |
| first_indexed | 2024-03-13T08:44:32Z |
| format | Article |
| id | doaj.art-d96202e260454c9b8628cdcff8edf51c |
| institution | Directory Open Access Journal |
| issn | 2359-4292 |
| language | English |
| last_indexed | 2024-03-13T08:44:32Z |
| publishDate | 2023-05-01 |
| publisher | Brazilian Society of Endocrinology and Metabolism |
| record_format | Article |
| series | Archives of Endocrinology and Metabolism |
| spelling | doaj.art-d96202e260454c9b8628cdcff8edf51c2023-05-30T07:34:55ZengBrazilian Society of Endocrinology and MetabolismArchives of Endocrinology and Metabolism2359-42922023-05-0167410.20945/2359-3997000000621Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patientsMehmet Ali Erenhttps://orcid.org/0000-0002-3588-2256Ataman Gönelhttps://orcid.org/0000-0001-7200-1537Hüseyin Karaaslanhttps://orcid.org/0000-0002-1271-6298Nida Uyarhttps://orcid.org/0000-0002-5904-8178Çiğdem Cindoğluhttps://orcid.org/0000-0002-1805-6438Tevfik Sabuncuhttps://orcid.org/0000-0001-6504-5355ABSTRACT Objective: The effects of the COVID-19 pandemic on the control of diabetes mellitus in patients are largely unknown. In this study we aimed to analyze the impact of the pandemic and the ensuing lockdown on the management of type 2 diabetes mellitus. Subjects and methods: A total of 7,321patients with type 2 diabetes mellitus (4,501 from the pre-pandemic period, 2,820 from the post-pandemic period) were studied retrospectively. Results: The admission of patients with diabetes melitus (DM) decreased significantly during the pandemic (4,501 pre-pandemic vs. 2,820 post-pandemic; p < 0.001). The mean age of patients was statistically lower (51.5 ± 14.0 vs. 49.7 ± 14.5 years; p < 0.001), and the mean glycated hemoglobin (A1c) level was significantly higher (7.9% ± 2.4% vs. 7.3% ± 1.7%; p < 0.001) in the post-pandemic period than in the pre-pandemic. The female/male ratio was similar in both periods (59.9%/40.1% for pre-pandemic, 58.6%/41.4% for post-pandemic; p = 0.304). As calculated by month the pre-pandemic rate of women was higher only in January (53.1% vs. 60.6%, p = 0.02). Mean A1c levels were higher in the postpandemic period than in the same month of the previous year, excluding July and October (p = 0.001 for November, p < 0.001 for others). Postpandemic patients admitted to the outpatient clinic were significantly younger than prepandemic visits for July (p = 0.001), August (p < 0.001) and December (p < 0.001). Conclusion: The lockdown had detrimental effects on blood sugar management in patients with DM. Hence, diet and exercise programs should be adapted to home conditions, and social and psychological support should be provided to patients with DM.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972023000400210&lng=en&tlng=enCOVID-19pandemiclockdowndiabetes mellitusglycated hemoglobin |
| spellingShingle | Mehmet Ali Eren Ataman Gönel Hüseyin Karaaslan Nida Uyar Çiğdem Cindoğlu Tevfik Sabuncu Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients Archives of Endocrinology and Metabolism COVID-19 pandemic lockdown diabetes mellitus glycated hemoglobin |
| title | Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients |
| title_full | Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients |
| title_fullStr | Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients |
| title_full_unstemmed | Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients |
| title_short | Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients |
| title_sort | effects of covid 19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients |
| topic | COVID-19 pandemic lockdown diabetes mellitus glycated hemoglobin |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972023000400210&lng=en&tlng=en |
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