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. 2022 Sep;77(3):455-460.
doi: 10.1007/s12020-022-03137-1. Epub 2022 Jul 15.

Effect of the COVID-19 pandemic on glycemic control in Brazilian patients with type 2 diabetes

L R M Tannus  1 , R M Zapelini  2 , C A Cabizuca  2 , R C Abi-Abib  2 , A S M Matheus  2 , P C Calassara  3 , R Pozzan  2 , R A Cobas  2
Affiliations

Effect of the COVID-19 pandemic on glycemic control in Brazilian patients with type 2 diabetes

L R M Tannus et al. Endocrine. 2022 Sep.

Abstract

Purpose: To investigate the effect of restrictive measures the COVID-19 pandemic imposed on glycemic control of patients with type 2 diabetes (T2D) and its associated factors.

Methods: Outpatients with T2D who had an appointment scheduled during the social distancing period were eligible for telemonitoring. Clinical and laboratorial data were collected from medical records in the last consultation before and from the first visit after the COVID-19 pandemic lockdown period.

Results: From the 1241 eligible patients, 816 (65.7%) could be contacted by phone, 137 (11%) attended the unit for consultation during the social distancing period, and 1040 (83.8%) returned up to 12 months after the end of the lockdown period. We observed a meaningful reduction of glycated hemoglobin (HbA1c) (7.9 [7-9] vs. 7.7 [6.9-8.8] p = 0.004) and no difference in body mass index (29.5 [26-33.7] vs. 29.6 [26.2-34.1], p = 0.17) before and after the social distancing period. According to insulin use at baseline, the HbA1c variation was +0.6 (-0.7 to +2) and -0.6 (-2.1 to +0.7) in patients without and with insulin, respectively (p < 0.001). In the multivariate model, insulin therapy was the only independent significant predictor of HbA1c reduction.

Conclusion: This study observed an improvement in glycemic control after the lockdown. The only independent predictor found was previous insulin use. Probably, the longer time available to perform frequent blood glucose self-monitoring at home and adjustments in insulin therapy could explain our findings.

Keywords: COVID-19; Glycemic control; Lockdown; Social distancing; Type 2 diabetes.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flowchart of the studied sample selection
See this image and copyright information in PMC

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