Factors contributing to glycemic control in diabetes mellitus patients complying with home quarantine during the coronavirus disease 2019 (COVID-19) epidemic

Ji, Tao; Gao, Lianlian; Liu, Qinghua; Dong, Kun; Huang, Jiaojiao; Peng, Xuemin; Yang, Yan; Wang, Hui; Yu, Xuefeng

doi:10.1016/j.diabres.2020.108514

Cited by 34 publications

(53 citation statements)

References 23 publications

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“…Lockdown seems to have produced a greater beneficial effect on females than in males. This is consistent with a Chinese study in which males with T1DM had poorer glycaemic control than females during COVID-19 lockdown [28]; previous findings showed that females with DM, when compared to males, elicited more frequently behaviours aimed at disease prevention, health promotion and symptom recognition [29], which could have been of help in coping with confinement. An increase in glucose monitoring and an improvement in insulin titration during remote working or remote schooling may explain these improvement, as suggested by a study showing an improvement in glucose control only in patients working at home [21]; unfortunately, the information on glucose monitoring and on the proportion of patients on home schooling or working was insufficient to add these variables as moderators.…”

Section: Discussionsupporting

confidence: 91%

Glucose control in diabetes during home confinement for the first pandemic wave of COVID-19: a meta-analysis of observational studies

et al. 2021

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Aim To assess the effect on glycaemic control of confinement due to lockdown measures, during COVID-19 pandemic, in people with type 1 (T1DM) and type 2 (T2DM) diabetes. Methods Meta-analysis of observational studies reporting measures of glucose control and variability before and during and/or after periods of confinement caused by COVID-19 in 2020 and/or 2021. Results We included 27 studies on T1DM. No significant change in Hba1c was observed after lockdown (WMD − 1.474 [− 3.26; 0.31] mmol/mol, I2 = 93.9). TIR significantly increased during and after lockdown (WMD: 2.73 1.47; 4.23 %, I2 = 81% and 3.73 [1.13; 5.33] %, I2 = 85%, respectively).We retrieved nine studies on T2DM patients. No significant variation in HbA1c was detected (WMD − 1.257 − 3.91; 1.39 mmol/mol, I2 = 98.3%). HbA1c had a more favourable trend in studies performed in Asia than in Europe (p = 0.022 between groups). Conclusion Lockdown showed no significant detrimental effect on HbA1c in either T1DM or T2DM. Conversely, home confinement led to a reduction in mean glucose and glucose variability in T1DM, although with a high heterogeneity of results.

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Section: Discussionsupporting

confidence: 91%

Glucose control in diabetes during home confinement for the first pandemic wave of COVID-19: a meta-analysis of observational studies

et al. 2021

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“…Patients with coronary heart disease [228][229][230][231][232] , neurological disorders 233,234 , diabetes 235,236 and cancer 237,238 have had to compromise on their physical activity routine, dietary patterns, and social connectedness in particular 227,236,239,240 as did families with children who had chronic respiratory diseases 193,241 . Poor glycemic control in diabetics due to altered lifestyle was reported in many studies [242][243][244][245][246][247][248] , while one study in India reported an improvement in the glycemic status of patients with type II diabetes mellitus 249 . In a study from France, 45% of 195 patients with chronic heart disease had a >25% reduction in physical activity and 24% of patients had gained >2kg weight 229 .…”

Section: Lifestyle Factors In Patients With Pre-existing Ncdsmentioning

confidence: 99%

COVID-19 lockdown and lifestyles: A narrative review

et al. 2021

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Background: The primary objective worldwide during the coronavirus disease 2019 (COVID-19) pandemic has been controlling disease transmission. However, lockdown measures used to mitigate transmission have affected human behavior and altered lifestyles, with a likely impact on chronic non-communicable diseases. More than a year into the pandemic, substantial peer-reviewed literature has emerged on altered lifestyles following the varying lockdown measures imposed globally to control the virus spread. We explored the impact of lockdown measures on six lifestyle factors, namely diet, physical activity, sleep, stress, social connectedness, and the use of tobacco, alcohol, or other harmful substances. Methods: We comprehensively searched PubMed and the World Health Organization’s global literature database on COVID-19 and retrieved 649 relevant articles for the narrative review. A critical interpretative synthesis of the articles was performed. Results: Most of the articles included in the review identified the negative effect of lockdown measures on each of the lifestyle factors in many parts of the world. Encouraging lifestyle trends were also highlighted in a few articles. Such trends can positively influence the outcome of lifestyle-related chronic diseases, such as obesity and diabetes. Conclusions: The COVID-19 pandemic provides an opportunity to better understand the negative impact of strict lockdown measures on lifestyles. At the same time, it helps us identify and initiate positive behavioral changes, which, if consolidated, could improve chronic disease outcomes. It is up to governments, communities, and healthcare/academic entities to derive benefit from lessons learned from the pandemic, with the ultimate objective of better educating and promoting healthy lifestyles among communities.

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“…[ 10 , 11 ] In addition, there have been several antidiabetic medications for T2DM patients including oral and injectable medications. [ 8 , 12 , 13 ] However, there is limited data about the economics, hospital level and regions on the poor glycemic control among T2DM patients treated with antidiabetic medications in China.…”

Section: Introductionmentioning

confidence: 99%

Predictors of poor glycemic control among type 2 diabetes mellitus patients treated with antidiabetic medications

Wang¹,

Li²,

Wen³

et al. 2021

Medicine

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This study aimed to clarify of the predictors of poor glycemic control in type 2 diabetes mellitus (T2DM) patients treated with antidiabetic medications in China.This study was a retrospective, cross-sectional study based on SuValue database. T2DM patients aged 18 years or older performing glycosylated hemoglobin A1c (HbA1c) examinations from January 1st, 2018 to December 31st, 2018 were included and have been treated with antidiabetic medications for at least 6 months. HbA1c < 7.0% was defined as adequate glycemic control. Multivariate analysis was performed for the factors associated with poor glycemic control.A total of 13972 T2DM patients were included in this study. The adequate glycemic control rate was 44.04% (n = 6153). In the multivariate analysis, predictors of poor glycemic control include longer T2DM duration (5-10 years vs <5 years and >10 years vs <5 years, odds ratio [OR] = 1.499 and 1.581, P < .001 and P = .008), myocardial infarction (OR = 1.141, P = .041), diabetic neuropathy (OR = 1.409, P < .001), secondary hospital (OR = 1.877, P < .001), underdeveloped regions (OR = 1.786, P < .001), insulin only (OR = 3.912, P < .001), combination of oral antidiabetic agents and/or insulin use (P < .001).In conclusion, longer T2DM duration, secondary hospital, myocardial infarction, diabetic neuropathy, undeveloped regions and use of polypharmacy and insulin were associated with poor glycemic control among T2DM patients treated with antidiabetic medications. Patient education and training of health care providers may be short-term strategy to achieve adequate glycemic control.Abbreviations: EMRs = electrical medical records, HbA1c = glycosylated hemoglobin A1c, OR = odds ratio, T2DM = type 2 diabetes mellitus.

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Factors contributing to glycemic control in diabetes mellitus patients complying with home quarantine during the coronavirus disease 2019 (COVID-19) epidemic

Cited by 34 publications

References 23 publications

Glucose control in diabetes during home confinement for the first pandemic wave of COVID-19: a meta-analysis of observational studies

Glucose control in diabetes during home confinement for the first pandemic wave of COVID-19: a meta-analysis of observational studies

COVID-19 lockdown and lifestyles: A narrative review

Predictors of poor glycemic control among type 2 diabetes mellitus patients treated with antidiabetic medications

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