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Impact of COVID-19 pandemic on glycemic control among outpatients with type 2 diabetes in Japan: A hospital-based survey from a country without lockdown

AIMS: Some studies have reported changes in glycemic control of patients with diabetes mellitus under lockdown. However, no previous study examined the impact of the pandemic on glycemic control in patients with diabetes in countries that did not introduce a lockdown such as Japan. This study aimed...

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Autores principales: Tanji, Yasuhiro, Sawada, Shojiro, Watanabe, Taichi, Mita, Takashi, Kobayashi, Yasutaka, Murakami, Takahisa, Metoki, Hirohito, Akai, Hiroaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8084613/
https://www.ncbi.nlm.nih.gov/pubmed/33933499
http://dx.doi.org/10.1016/j.diabres.2021.108840
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author Tanji, Yasuhiro
Sawada, Shojiro
Watanabe, Taichi
Mita, Takashi
Kobayashi, Yasutaka
Murakami, Takahisa
Metoki, Hirohito
Akai, Hiroaki
author_facet Tanji, Yasuhiro
Sawada, Shojiro
Watanabe, Taichi
Mita, Takashi
Kobayashi, Yasutaka
Murakami, Takahisa
Metoki, Hirohito
Akai, Hiroaki
author_sort Tanji, Yasuhiro
collection PubMed
description AIMS: Some studies have reported changes in glycemic control of patients with diabetes mellitus under lockdown. However, no previous study examined the impact of the pandemic on glycemic control in patients with diabetes in countries that did not introduce a lockdown such as Japan. This study aimed to assess changes in glycemic control during the pandemic in patients with type 2 diabetes treated at a Japanese clinic. METHODS: We conducted a historical cohort study, using electronic medical records of patients with type 2 diabetes who visited our clinic between January 2019 and August 2020. Differences in HbA1c values before and after the outbreak of COVID-19 were the primary outcome, examined using the linear mixed model. RESULTS: HbA1c values significantly increased from 7.45% to 7.53% after the state of emergency was introduced (n = 1,009). Furthermore, a deterioration in HbA1c values was observed in particular among women, patients aged ≥ 65 years, those with body mass index of ≥ 25 kg/m(2), and those that were not using insulin. CONCLUSIONS: Glycemic control deteriorated in patients with type 2 diabetes during the pandemic even in a country without a national lockdown.
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spelling pubmed-80846132021-05-03 Impact of COVID-19 pandemic on glycemic control among outpatients with type 2 diabetes in Japan: A hospital-based survey from a country without lockdown Tanji, Yasuhiro Sawada, Shojiro Watanabe, Taichi Mita, Takashi Kobayashi, Yasutaka Murakami, Takahisa Metoki, Hirohito Akai, Hiroaki Diabetes Res Clin Pract Article AIMS: Some studies have reported changes in glycemic control of patients with diabetes mellitus under lockdown. However, no previous study examined the impact of the pandemic on glycemic control in patients with diabetes in countries that did not introduce a lockdown such as Japan. This study aimed to assess changes in glycemic control during the pandemic in patients with type 2 diabetes treated at a Japanese clinic. METHODS: We conducted a historical cohort study, using electronic medical records of patients with type 2 diabetes who visited our clinic between January 2019 and August 2020. Differences in HbA1c values before and after the outbreak of COVID-19 were the primary outcome, examined using the linear mixed model. RESULTS: HbA1c values significantly increased from 7.45% to 7.53% after the state of emergency was introduced (n = 1,009). Furthermore, a deterioration in HbA1c values was observed in particular among women, patients aged ≥ 65 years, those with body mass index of ≥ 25 kg/m(2), and those that were not using insulin. CONCLUSIONS: Glycemic control deteriorated in patients with type 2 diabetes during the pandemic even in a country without a national lockdown. Elsevier B.V. 2021-06 2021-04-30 /pmc/articles/PMC8084613/ /pubmed/33933499 http://dx.doi.org/10.1016/j.diabres.2021.108840 Text en © 2021 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Tanji, Yasuhiro
Sawada, Shojiro
Watanabe, Taichi
Mita, Takashi
Kobayashi, Yasutaka
Murakami, Takahisa
Metoki, Hirohito
Akai, Hiroaki
Impact of COVID-19 pandemic on glycemic control among outpatients with type 2 diabetes in Japan: A hospital-based survey from a country without lockdown
title Impact of COVID-19 pandemic on glycemic control among outpatients with type 2 diabetes in Japan: A hospital-based survey from a country without lockdown
title_full Impact of COVID-19 pandemic on glycemic control among outpatients with type 2 diabetes in Japan: A hospital-based survey from a country without lockdown
title_fullStr Impact of COVID-19 pandemic on glycemic control among outpatients with type 2 diabetes in Japan: A hospital-based survey from a country without lockdown
title_full_unstemmed Impact of COVID-19 pandemic on glycemic control among outpatients with type 2 diabetes in Japan: A hospital-based survey from a country without lockdown
title_short Impact of COVID-19 pandemic on glycemic control among outpatients with type 2 diabetes in Japan: A hospital-based survey from a country without lockdown
title_sort impact of covid-19 pandemic on glycemic control among outpatients with type 2 diabetes in japan: a hospital-based survey from a country without lockdown
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8084613/
https://www.ncbi.nlm.nih.gov/pubmed/33933499
http://dx.doi.org/10.1016/j.diabres.2021.108840
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