Observational study on Effect of Lock Down due to COVID 19 on glycemic control in patients with Diabetes: Experience from Central India

Abstract

Background and aims Diabetes is a chronic metabolic condition characterized with hyperglycemia and associated with several complications. Glycemic control is important factor in preventing the complications associated with diabetes. Pillars for good glycemic control are good life style modification with proper medication under medical guidance. The aim of this study was to study the effect of lock down on glycemic control in diabetic patients and possible factor responsible for this. Material and methods – Out of 407 only 143 diabetic patients who attended the our endocrine OPD in last 3 months who had good glycemic control in past without any chronic complication and willing to participate were included in study. They were advised for the self-monitoring of blood glucose for identifying the glycemic control and with questionnaire designed possible factor was identified during the lockdown period. Results – The patients were aged between 18 and 65 years with mean age of 54.68 years and male to female ratio was 91:52.56 (39.16%) patients reported worsening of hyperglycemia and requiring addition of medications for control of blood glucose and 3 (2.09%) patients reported hypoglycemic events and medications were stepped down. Psychological stress was most common factor worsening of hyperglycemia followed by change in diet and exercise.

Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: Evidence from a large-scale multi-country surveillance programme

“…The impact was greatest amongst the more vulnerable in society, in particular those from lower socio-economic backgrounds. Our results expand the evidence base on the impacts of COVID-19 on access to healthcare in South Asia ( Deshmukh, Naik, & Zade, R, 2020 ; Khader et al, 2020 ; Khare & Jindal, 2020 ; Nachimuthu et al, 2020 )-( Deshmukh, Naik, & Zade, R, 2020 ; Khader et al, 2020 ; Khare & Jindal, 2020 ; Nachimuthu et al, 2020 ), making a strong case for measures to protect routine health services, increase the use of digital platforms and provide medication support. ( Joshi et al, 2020 ).…”

Observational study on effect of lock down due to COVID 19 on HBA1c levels in patients with diabetes: Experience from Central India

“…In our study mean FBS, PLBS and HBA1c was significantly higher in immediate post-lock down period as compared to previous non lock down period. Possible reason for it may be the change in amount and type of diet due to being at home with lack of exercise and psychological stress due to lockdown [ 9 , 10 ].…”

Mediterranean Diet for the Prevention of Gestational Diabetes in the Covid-19 Era: Implications of Il-6 In Diabesity

“…More studies are needed in order to evaluate the use of complementary medicine during pregnancy for treating pregnancy-induced nausea [ 236 ] and mood status [ 237 ]. The former can be due to ketosis [ 30 ] and the latter can be increased by lockdown [ 57 , 58 , 60 , 238 ].…”

“…Psychological stress was among the most common factors to worsen hyperglycemia, followed by changes in diet and exercise, and some patients required additional medications for the control of blood glucose during lockdown [ 57 ]. Therefore, the previously suggested multi-level approaches to assist individuals in adapting their health behaviors to prevent both chronic and infectious diseases [ 239 ] should be applied to pregnant women.…”

“…During lockdown, psychological stress was among the most common factor that worsened hyperglycemia, followed by changes in diet and exercise [ 57 ]. Furthermore, some patients required additional medications to control blood glucose levels during lockdown [ 57 ]. In women with GDM, the use of insulin therapy was significantly higher in 2020 (47.7%) compared with 2019 (36.2%) [ 58 ].…”