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The early impact of the COVID-19 pandemic on adults with type 1 or type 2 diabetes: A national cohort study.
Fisher, Lawrence; Polonsky, William; Asuni, Adijat; Jolly, Yasmin; Hessler, Danielle.
  • Fisher L; Department of Family & Community Medicine, University of California, San Francisco, United States of America. Electronic address: larry.fisher@ucsf.edu.
  • Polonsky W; University of California, San Diego, Behavioral Diabetes Institute, San Diego, CA, United States of America.
  • Asuni A; Department of Family & Community Medicine, University of California, San Francisco, United States of America.
  • Jolly Y; Department of Family & Community Medicine, University of California, San Francisco, United States of America.
  • Hessler D; Department of Family & Community Medicine, University of California, San Francisco, United States of America.
J Diabetes Complications ; 34(12): 107748, 2020 12.
Article in English | MEDLINE | ID: covidwho-837528
ABSTRACT

AIMS:

To describe the effects of the COVID-19 pandemic on adults with T1D or T2D in the U.S.

METHODS:

Participants, recruited from the Taking Control of Your Diabetes Research Registry, were ≥19 years old and diagnosed with either T1D or T2D for ≥12 months. Participants completed an online survey on a HIPAA-protected platform.

RESULTS:

Completed surveys were received from 763 T1Ds and 619 T2Ds. Average T1D age was 53.3 (SD = 15.3); average T2D age was 64.9 (SD = 10.3). Both samples were predominantly female, non-Hispanic white and well-educated. Average self-reported HbA1c was 6.9 (SD = 1.0; 52 mmol/mol) for T1Ds and 7.1 (SD = 1.1; 54 mmol/mol) for T2Ds. About 40% of respondents reported that all of their diabetes healthcare appointments at the time were cancelled or postponed, 40% reported a switch to telehealth appointments and almost half reported lower overall satisfaction with these visits (compared to pre-pandemic). There were widespread increases in general and diabetes-related stress and social isolation, and negative effects on disease management. About 25% reported increases in highs, lows, and glucose variability in both groups.

CONCLUSION:

There has been a substantive increase in level of diabetes-related and general life stress and social isolation due to the pandemic, with a significant impact on disease management.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus, Type 1 / Diabetes Mellitus, Type 2 / SARS-CoV-2 / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: J Diabetes Complications Journal subject: Endocrinology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus, Type 1 / Diabetes Mellitus, Type 2 / SARS-CoV-2 / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: J Diabetes Complications Journal subject: Endocrinology Year: 2020 Document Type: Article