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Stay-at-Home Orders During the COVID-19 Pandemic, an Opportunity to Improve Glucose Control Through Behavioral Changes in Type 1 Diabetes.
Potier, Louis; Hansel, Boris; Larger, Etienne; Gautier, Jean-François; Carreira, Daphné; Assemien, Rachel; Lantieri, Olivier; Riveline, Jean-Pierre; Roussel, Ronan.
  • Potier L; Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
  • Hansel B; Centre de Recherche des Cordeliers, INSERM, Sorbonne Université, Université de Paris, Paris, France.
  • Larger E; Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
  • Gautier JF; Centre de Recherche des Cordeliers, INSERM, Sorbonne Université, Université de Paris, Paris, France.
  • Carreira D; Diabetology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, INSERM, Université de Paris, Paris, France.
  • Assemien R; Centre de Recherche des Cordeliers, INSERM, Sorbonne Université, Université de Paris, Paris, France.
  • Lantieri O; Diabetology Department, Lariboisiere Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
  • Riveline JP; Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
  • Roussel R; Université de Paris, Paris, France.
Diabetes Care ; 44(3): 839-843, 2021 03.
Article in English | MEDLINE | ID: covidwho-1000010
ABSTRACT

OBJECTIVE:

To investigate the impact of coronavirus disease 2019 lockdown on glycemic control and associated factors in people living with type 1 diabetes. RESEARCH DESIGN AND

METHODS:

An observational evaluation from a self-reported questionnaire on behavioral changes and glycemic information from flash glucose monitoring (FGM) during the lockdown in 1,378 individuals living with type 1 diabetes who used a French dedicated nationwide web application (CoviDIAB).

RESULTS:

The main outcome was the change of the mean glucose level 2 months before and 1 month after the lockdown. We found that mean glucose improved from 9.1 ± 1.7 mmol/L to 8.7 ± 1.7 mmol/L (P < 0.001). Factors associated with better glycemic control were a decrease of alcohol consumption (odds ratio [OR] 1.75 [95% CI 1.04-2.94]), an increase in the frequency of FGM scans (OR 1.48 [1.04-2.10]) and in the number of hypoglycemia events (OR 1.67 [1.13-2.46]), and an easier diabetes control perception (OR 1.71 [1.18-2.49]).

CONCLUSIONS:

Our findings suggest that lockdown has a positive impact on glycemic control in people with type 1 diabetes.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Communicable Disease Control / Diabetes Mellitus, Type 1 / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Humans / Middle aged Language: English Journal: Diabetes Care Year: 2021 Document Type: Article Affiliation country: Dc20-2019

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Communicable Disease Control / Diabetes Mellitus, Type 1 / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Humans / Middle aged Language: English Journal: Diabetes Care Year: 2021 Document Type: Article Affiliation country: Dc20-2019