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Impact of COVID-19 lockdown on glycemic control in Portuguese children and adolescents with Type 1 diabetes
Pediatric Diabetes ; 22(SUPPL 30):47, 2021.
Article in English | EMBASE | ID: covidwho-1571001
ABSTRACT

Introduction:

Covid-19 pandemic has forced governments to impose lockdown policies, thus impacting chronic patients who require regular follow-up.

Objectives:

The aim of this study was to evaluate the impact of lockdown on glycemic control of type 1 diabetes (T1D) patients

Methods:

Retrospective study conducted at the Pediatric Endocrinology Unit of Centro Hospitalar São João in Porto, Portugal. Patients aged 3-18 years with T1D on Continuous Insulin Subcutaneous Perfusion Devices (PCSI) were included. We collected data on the age, gender, BMI, daily insulin dose (DID) and glycemic control of the patients before and after the nationwide lockdown. Telemedicine visits began mid-March 2020 and went on until late May 2020. Patients were included into 3 age groups 3-9, 10-13 and 14-18 years.

Results:

The study included 100 patients, 59 males, mean age of 12.5 years and mean diabetes duration of 7 years. Mean DID was 0,94U/kg for girls and 0,75U/kg for boys. Mean HbA1c was 7.4%, 7.8% and 8.3% for 3-9, 10-13 and 14-18 age groups respectively. Mean BMI pre and post confinement was 19.8 and 20.2 kg/m2. The lockdown was associated with an increase in all patients' BMI (p<0.001), particularly those aged 14-18 ys, in both genders. Difference of glycemic control pre and post lockdown was significant in the 10-13 age group (p=0.03), where the baseline and follow-up HbA1c was 7.8% and 8.2%.

Conclusions:

An overall increase in BMI may correlate with a lack of physical activity amid confinement. The impaired glucose control in adolescents aged 10-13 years may be explained by the typical insulin resistance of prepubertal and early pubertal children. Metabolic control in older adolescents did not aggravate during the lockdown. This may be due to regular home-cooked meals and close monitoring by parents. In addition, the continuation of health care assistance through telemedicine probably had a significant contribution.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Experimental Studies Language: English Journal: Pediatric Diabetes Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Experimental Studies Language: English Journal: Pediatric Diabetes Year: 2021 Document Type: Article