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Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients
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 wit...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Endocrinologia e Metabologia
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665077/ https://www.ncbi.nlm.nih.gov/pubmed/37252703 http://dx.doi.org/10.20945/2359-3997000000621 |
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author | Eren, Mehmet Ali Gönel, Ataman Karaaslan, Hüseyin Uyar, Nida Cindoğlu, Çiğdem Sabuncu, Tevfik |
author_facet | Eren, Mehmet Ali Gönel, Ataman Karaaslan, Hüseyin Uyar, Nida Cindoğlu, Çiğdem Sabuncu, Tevfik |
author_sort | Eren, Mehmet Ali |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10665077 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Sociedade Brasileira de Endocrinologia e Metabologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-106650772023-05-10 Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients Eren, Mehmet Ali Gönel, Ataman Karaaslan, Hüseyin Uyar, Nida Cindoğlu, Çiğdem Sabuncu, Tevfik Arch Endocrinol Metab Original Article 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. Sociedade Brasileira de Endocrinologia e Metabologia 2023-05-10 /pmc/articles/PMC10665077/ /pubmed/37252703 http://dx.doi.org/10.20945/2359-3997000000621 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Eren, Mehmet Ali Gönel, Ataman Karaaslan, Hüseyin Uyar, Nida Cindoğlu, Çiğdem Sabuncu, Tevfik Effects of COVID-19 pandemic lockdown on the metabolic control of type 2 diabetes mellitus in patients |
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 | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665077/ https://www.ncbi.nlm.nih.gov/pubmed/37252703 http://dx.doi.org/10.20945/2359-3997000000621 |
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