Elsevier

Primary Care Diabetes

Volume 17, Issue 3, June 2023, Pages 238-241
Primary Care Diabetes

Changes in clinic visits and diabetes and metabolic control in patients with type 2 diabetes during COVID-19 pandemic: A real world evidence

https://doi.org/10.1016/j.pcd.2023.03.004Get rights and content

Highlights

  • During covid-19 lockdown, glycemic control of diabetes patients improved significantly.

  • During lockdown lipid profile except for triglyceride improved significantly.

  • During lockdown BMI reduced significantly.

  • All metabolic improvement were statistically significant but not clinically.

  • This metabolic improvement indicates improved self-care.

Abstract

Purpose

The study aim was to evaluate the effects of public lockdown during the covid-19 pandemic on glucose and metabolic parameters as well as body weight control in type 2 diabetic patients.

Methods

This study was conducted in two outpatient Diabetes Clinics and analyzed data available in database of Diabetes Clinic. Data related to a year before covid-19 pandemic and a year during covid-19 pandemic was collected from the database and analyzed. Patients with type 2 diabetes included in the analysis if they had referred to Diabetes Clinics both before and during covid-19 pandemic. Demographic information and data about metabolic status were collected from the records of previous outpatient Clinic visits and compared

Results

Finally 9440 patients with mean age of 61.08 ± 11.62 referred to Diabetes Clinics in both the year before and the year of the corona pandemic. Mean FBS and HbA1c in diabetes patients reduced significantly from 155.37 ± 62.93 and 7.97 ± 1.74 before pandemic, respectively to 138.77 ± 45.39 and 7.54 ± 1.34, respectively during covid-19 outbreak. During covid-19 pandemic, all metabolic parameters including glycemic and lipid profile (except for triglyceride) and BMI (body mass index) reduced significantly statistically, but, these changes were not clinically significant. However, triglyceride level increased statistically significantly but again it was not significant clinically.

Conclusion

During COVID-19 lockdown, glycemic and metabolic control of diabetes patients have improved significantly except for triglycerides.

Keywords

Type 2 diabetes
COVID-19
Glycemic control
Metabolic control

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