Impact of Lockdown Measures on Health Outcomes of Adults with Type 2 Diabetes Mellitus in Bangladesh
COVID-19 lockdown measures appreciably affected patients’ lifestyles, negatively impacting on their health. This includes patients with Type 2 Diabetes Mellitus (T2DM). Care of these patients was also negatively impacted due to a priority to treat patients with COVID-19, certainly initially, within...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/8/1191 |
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| author | Farhana Akter Ahsanul Haq Brian Godman Kona Chowdhury Santosh Kumar Mainul Haque |
| author_facet | Farhana Akter Ahsanul Haq Brian Godman Kona Chowdhury Santosh Kumar Mainul Haque |
| author_sort | Farhana Akter |
| collection | DOAJ |
| description | COVID-19 lockdown measures appreciably affected patients’ lifestyles, negatively impacting on their health. This includes patients with Type 2 Diabetes Mellitus (T2DM). Care of these patients was also negatively impacted due to a priority to treat patients with COVID-19, certainly initially, within hospitals and clinics in Bangladesh, combined with a lack of access to clinics and physicians due to lockdown and other measures. This is a concern in Bangladesh with growing rates of T2DM and subsequent complications. Consequently, we sought to critically analyze the situation among patients with T2DM in Bangladesh during the initial stages of the pandemic to address this information gap and provide future direction. Overall, 731 patients were recruited by a simple random sampling method among patients attending hospitals in Bangladesh, with data collected over 3 timescales: before lockdown, during the pandemic, and after lockdown. Data extracted from patients’ notes included current prescribed medicines and key parameters, including blood sugar levels, blood pressure, and comorbidities. In addition, the extent of record keeping. The glycemic status of patients deteriorated during lockdown, and comorbidities as well as complications related to T2DM increased during this period. Overall, a significant proportion of key datasets were not recorded in patients’ notes by their physician before and during lockdown. This started to change after lockdown measures eased. In conclusion, lockdown measures critically affected the management of patients with T2DM in Bangladesh, building on previous concerns. Extending internet coverage for telemedicine, introduction of structured guidelines, and appreciably increasing data recording during consultations is of the utmost priority to improve the care of T2DM patients in Bangladesh. |
| first_indexed | 2024-03-11T04:58:30Z |
| format | Article |
| id | doaj.art-d9a8a9bcb2a54b6da59e8765e5ebbc37 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T04:58:30Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-d9a8a9bcb2a54b6da59e8765e5ebbc372023-11-17T19:27:49ZengMDPI AGHealthcare2227-90322023-04-01118119110.3390/healthcare11081191Impact of Lockdown Measures on Health Outcomes of Adults with Type 2 Diabetes Mellitus in BangladeshFarhana Akter0Ahsanul Haq1Brian Godman2Kona Chowdhury3Santosh Kumar4Mainul Haque5Department of Endocrinology, Chittagong Medical College Hospital, Chattogram 4203, BangladeshInfectious Diseases Division, icddr, b, Mohakhali, Dhaka 1212, BangladeshStrathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow G4 0RE, UKDepartment of Pediatrics, Gonoshasthaya Samaj Vittik Medical College, Dhaka 1344, BangladeshDepartment of Periodontology and Implantology, Karnavati School of Dentistry, Karnavati University, Gandhinagar 382422, Gujarat, IndiaUnit of Pharmacology, Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia (National Defence University of Malaysia), Kem Perdana Sungai Besi, Kuala Lumpur 57000, MalaysiaCOVID-19 lockdown measures appreciably affected patients’ lifestyles, negatively impacting on their health. This includes patients with Type 2 Diabetes Mellitus (T2DM). Care of these patients was also negatively impacted due to a priority to treat patients with COVID-19, certainly initially, within hospitals and clinics in Bangladesh, combined with a lack of access to clinics and physicians due to lockdown and other measures. This is a concern in Bangladesh with growing rates of T2DM and subsequent complications. Consequently, we sought to critically analyze the situation among patients with T2DM in Bangladesh during the initial stages of the pandemic to address this information gap and provide future direction. Overall, 731 patients were recruited by a simple random sampling method among patients attending hospitals in Bangladesh, with data collected over 3 timescales: before lockdown, during the pandemic, and after lockdown. Data extracted from patients’ notes included current prescribed medicines and key parameters, including blood sugar levels, blood pressure, and comorbidities. In addition, the extent of record keeping. The glycemic status of patients deteriorated during lockdown, and comorbidities as well as complications related to T2DM increased during this period. Overall, a significant proportion of key datasets were not recorded in patients’ notes by their physician before and during lockdown. This started to change after lockdown measures eased. In conclusion, lockdown measures critically affected the management of patients with T2DM in Bangladesh, building on previous concerns. Extending internet coverage for telemedicine, introduction of structured guidelines, and appreciably increasing data recording during consultations is of the utmost priority to improve the care of T2DM patients in Bangladesh.https://www.mdpi.com/2227-9032/11/8/1191Type 2 Diabetes MellitusCOVID-19medical recordssymptom controllockdownBangladesh |
| spellingShingle | Farhana Akter Ahsanul Haq Brian Godman Kona Chowdhury Santosh Kumar Mainul Haque Impact of Lockdown Measures on Health Outcomes of Adults with Type 2 Diabetes Mellitus in Bangladesh Healthcare Type 2 Diabetes Mellitus COVID-19 medical records symptom control lockdown Bangladesh |
| title | Impact of Lockdown Measures on Health Outcomes of Adults with Type 2 Diabetes Mellitus in Bangladesh |
| title_full | Impact of Lockdown Measures on Health Outcomes of Adults with Type 2 Diabetes Mellitus in Bangladesh |
| title_fullStr | Impact of Lockdown Measures on Health Outcomes of Adults with Type 2 Diabetes Mellitus in Bangladesh |
| title_full_unstemmed | Impact of Lockdown Measures on Health Outcomes of Adults with Type 2 Diabetes Mellitus in Bangladesh |
| title_short | Impact of Lockdown Measures on Health Outcomes of Adults with Type 2 Diabetes Mellitus in Bangladesh |
| title_sort | impact of lockdown measures on health outcomes of adults with type 2 diabetes mellitus in bangladesh |
| topic | Type 2 Diabetes Mellitus COVID-19 medical records symptom control lockdown Bangladesh |
| url | https://www.mdpi.com/2227-9032/11/8/1191 |
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