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Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan

OBJECTIVE: In this study, we investigated whether and how the COVID-19 pandemic affected glycemic control and blood pressure (BP) control in patients with diabetes mellitus (DM). METHODS: DM patients whose HbA1c level was measured regularly before and after the declaration of a state of emergency we...

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Autores principales: Endo, Keisuke, Miki, Takayuki, Itoh, Takahito, Kubo, Hirofumi, Ito, Ryosuke, Ohno, Kouhei, Hotta, Hiroyuki, Kato, Nobuo, Matsumoto, Tomoaki, Kitamura, Aya, Tamayama, Mai, Wataya, Takako, Yamaya, Ayaka, Ishikawa, Rei, Ooiwa, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8810256/
https://www.ncbi.nlm.nih.gov/pubmed/34980759
http://dx.doi.org/10.2169/internalmedicine.8041-21
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author Endo, Keisuke
Miki, Takayuki
Itoh, Takahito
Kubo, Hirofumi
Ito, Ryosuke
Ohno, Kouhei
Hotta, Hiroyuki
Kato, Nobuo
Matsumoto, Tomoaki
Kitamura, Aya
Tamayama, Mai
Wataya, Takako
Yamaya, Ayaka
Ishikawa, Rei
Ooiwa, Hitoshi
author_facet Endo, Keisuke
Miki, Takayuki
Itoh, Takahito
Kubo, Hirofumi
Ito, Ryosuke
Ohno, Kouhei
Hotta, Hiroyuki
Kato, Nobuo
Matsumoto, Tomoaki
Kitamura, Aya
Tamayama, Mai
Wataya, Takako
Yamaya, Ayaka
Ishikawa, Rei
Ooiwa, Hitoshi
author_sort Endo, Keisuke
collection PubMed
description OBJECTIVE: In this study, we investigated whether and how the COVID-19 pandemic affected glycemic control and blood pressure (BP) control in patients with diabetes mellitus (DM). METHODS: DM patients whose HbA1c level was measured regularly before and after the declaration of a state of emergency were included in this study. Some patients were given questionnaires about changes in their lifestyle to determine the factors affecting glycemic control and BP control. RESULTS: The median HbA1c level of the 804 patients increased significantly from 6.8% before the state of emergency to 7.1% and 7.0% during and after the state of emergency, respectively. This was in contrast to the decrease one year earlier due to seasonal variations. In the 176 patients who responded to the questionnaire, the HbA1c level also increased significantly during and after the state of emergency. The worsening of glycemic control was more pronounced in the group that had achieved HbA1c of <7% before the state of emergency than in those with higher values. Unlike the rise in HbA1c, the BP did not rise during the state of emergency but did rise significantly afterwards. There was no marked decrease in HbA1c or BP after the state of emergency, even in patients who responded that they were much more careful with their diet, ate less, or exercised more. CONCLUSIONS: The COVID-19 pandemic worsened glycemic control and BP control, even in patients who perceived no marked change in their diet or exercise, suggesting that more active lifestyle guidance is necessary for good treatment of DM patients.
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spelling pubmed-88102562022-02-15 Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan Endo, Keisuke Miki, Takayuki Itoh, Takahito Kubo, Hirofumi Ito, Ryosuke Ohno, Kouhei Hotta, Hiroyuki Kato, Nobuo Matsumoto, Tomoaki Kitamura, Aya Tamayama, Mai Wataya, Takako Yamaya, Ayaka Ishikawa, Rei Ooiwa, Hitoshi Intern Med Original Article OBJECTIVE: In this study, we investigated whether and how the COVID-19 pandemic affected glycemic control and blood pressure (BP) control in patients with diabetes mellitus (DM). METHODS: DM patients whose HbA1c level was measured regularly before and after the declaration of a state of emergency were included in this study. Some patients were given questionnaires about changes in their lifestyle to determine the factors affecting glycemic control and BP control. RESULTS: The median HbA1c level of the 804 patients increased significantly from 6.8% before the state of emergency to 7.1% and 7.0% during and after the state of emergency, respectively. This was in contrast to the decrease one year earlier due to seasonal variations. In the 176 patients who responded to the questionnaire, the HbA1c level also increased significantly during and after the state of emergency. The worsening of glycemic control was more pronounced in the group that had achieved HbA1c of <7% before the state of emergency than in those with higher values. Unlike the rise in HbA1c, the BP did not rise during the state of emergency but did rise significantly afterwards. There was no marked decrease in HbA1c or BP after the state of emergency, even in patients who responded that they were much more careful with their diet, ate less, or exercised more. CONCLUSIONS: The COVID-19 pandemic worsened glycemic control and BP control, even in patients who perceived no marked change in their diet or exercise, suggesting that more active lifestyle guidance is necessary for good treatment of DM patients. The Japanese Society of Internal Medicine 2022-01-01 2022-01-01 /pmc/articles/PMC8810256/ /pubmed/34980759 http://dx.doi.org/10.2169/internalmedicine.8041-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Endo, Keisuke
Miki, Takayuki
Itoh, Takahito
Kubo, Hirofumi
Ito, Ryosuke
Ohno, Kouhei
Hotta, Hiroyuki
Kato, Nobuo
Matsumoto, Tomoaki
Kitamura, Aya
Tamayama, Mai
Wataya, Takako
Yamaya, Ayaka
Ishikawa, Rei
Ooiwa, Hitoshi
Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan
title Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan
title_full Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan
title_fullStr Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan
title_full_unstemmed Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan
title_short Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan
title_sort impact of the covid-19 pandemic on glycemic control and blood pressure control in patients with diabetes in japan
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8810256/
https://www.ncbi.nlm.nih.gov/pubmed/34980759
http://dx.doi.org/10.2169/internalmedicine.8041-21
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