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Association of the Coronavirus Disease 2019 Outbreak on the Diabetes Self-Management in Chinese Patients: An Analytical Cross-Sectional Study.
Huang, Linyan; Zhang, Li; Jiang, Shuiping; Liang, Baozhu; Xu, Ningning; Li, Jingxin; Zhang, Xiaoyan; Zhang, Zhen.
  • Huang L; Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
  • Zhang L; Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
  • Jiang S; Department of Endocrinology, People's Hospital of Dehong, Yunnan, People's Republic of China.
  • Liang B; Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
  • Xu N; Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
  • Li J; Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
  • Zhang X; Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
  • Zhang Z; Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
Diabetes Metab Syndr Obes ; 15: 1413-1422, 2022.
Article in English | MEDLINE | ID: covidwho-1951752
ABSTRACT

Background:

The coronavirus disease 2019 (COVID-19) outbreak has seriously affected people's lives, especially those with chronic diseases. Diabetes self-management, which plays an important role in glycaemic control and reducing the risk of acute and long-term complications, may be discouraged by social distancing.

Purpose:

To evaluate the level of self-management activities in Chinese patients with type 2 diabetes mellitus (T2DM) during the COVID-19 pandemic. Patients and

Methods:

A survey of with 872 patients with T2DM in the inpatient and outpatient departments through face-to-face interviews was conducted from 1 July, 2020 to 30 September, 2020. The main outcome measures were glycaemic control status and level of self-management activities during the pandemic.

Results:

In terms of glycaemic control, the data showed that patients with fasting plasma glucose (FPG) < 7.0 mmol/L (36.4%), postprandial plasma glucose (PPG) < 10.0 mmol/L (26.3%), or glycosylated haemoglobin (HbA1c) < 7.0% (18.6%) in our investigation has well-controlled blood glucose level, and 11.9% of patients experienced blood glucose <3.9 mmol/L during the outbreak. The diabetes self-management of Chinese patients decreased and the final diabetes self-management score of the Chinese patients was 3.4 ± 1.45. Patients with higher education, diabetes education, comorbidities, and online consultations had higher diabetes self-management scores (P <0.05). Adherence to diabetes self-management in the normal glycaemic control group was higher than that in the substandard glycaemic control group (P<0.05). Among all participants, 72.1% of the patients reduced the frequency of hospital visits, and 44.8% considered that they had diabetes-related stress during the pandemic. The mean anxiety level score rated by 286 patients was 5.3±2.8.

Conclusion:

The COVID-19 pandemic has affected diabetes self-management, including substandard glycemic control, increased diabetes-related stress, limited exercise range and medical visits. Therefore, future interventions should focus on the online management of chronic diseases and support online consultation' development and promotion, which can overcome physical distance and provide personalized services conveniently.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Language: English Journal: Diabetes Metab Syndr Obes Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Language: English Journal: Diabetes Metab Syndr Obes Year: 2022 Document Type: Article