Control of type 2 diabetes mellitus during the COVID-19 pandemic.
Control of type 2 diabetes mellitus during the COVID-19 pandemic.
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DOI：
10.1016/j.pcd.2021.06.012
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发表时间：
2021-10
影响因子：
2.9
通讯作者：
McElfish PA
中科院分区：
文献类型：
--
作者：
Felix HC;Andersen JA;Willis DE;Malhis JR;Selig JP;McElfish PA
2型糖尿病（T2 DM）是一种流行的慢性疾病，如果不能很好地控制，可能导致严重的并发症。COVID-19大流行对日常生活造成干扰;然而，尚不清楚大流行的干扰是否影响了成年T2 DM患者控制病情的能力。本研究旨在通过美国阿肯色州成年T2 DM患者在COVID-19大流行期间的经历填补知识空白。这项研究分析了从阿肯色州生活、工作或接受医疗保健的成年人（≥18岁）中收集的横断面观察性调查数据;自我报告了T2 DM诊断;并完成了2020年7月至8月进行的COVID-19影响在线调查（n = 131）的糖尿病模块。使用描述性统计量描述样本和调查回答，使用多变量回归确定与未控制的T2 DM（HbA 1c ≥ 9%或74.9 mmol/mol）或HbA 1c升高相关的人口统计学、自我护理行为和访问问题。28.2%的人报告自大流行开始以来他们的HbA 1c增加，18.2%的人患有不受控制的T2 DM。教育水平、健康饮食和体重增加与未控制的T2 DM呈负相关。饮食不健康和难以获得糖尿病相关药物与HbA 1c增加呈正相关。阿肯色州的T2 DM成年人在该州确诊首例COVD-19病例后的五个月内能够合理地保持对T2 DM的控制。然而，针对教育水平较低的人群的T2 DM自我管理干预措施，重点是饮食习惯和/或改善糖尿病药物的可及性，应考虑用于未来的公共卫生紧急事件。
Type 2 Diabetes Mellitus (T2DM) is a prevalent chronic condition that can lead to significant complications if not well controlled. The COVID-19 pandemic created disruptions in daily life; however, it is unknown whether the pandemic’s disruptions affected the ability for adults with T2DM to control their condition. This study aims to fill the knowledge gap with the experiences of adults with T2DM in Arkansas, U.S. during the COVID-19 pandemic. This study analyzed cross-sectional, observational survey data collected from adults (≥18 years) who live, work, or receive healthcare in Arkansas; self-reported a diagnosis of T2DM; and completed the diabetes module of the Impact of COVID-19 online survey (n = 131) fielded in July–August 2020. Descriptive statistics were used to characterize the sample and survey responses, and multivariate regression was used to identify demographics, self-care behaviors, and access issues associated with uncontrolled T2DM (HbA1c ≥ 9% or 74.9 mmol/mol) or with an increase in HbA1c. 28.2% reported an increase in their HbA1c since the pandemic began, and 18.2% had uncontrolled T2DM. Educational level, eating healthily, and weight gain were negatively associated with uncontrolled T2DM. Eating less healthily and having difficulty accessing diabetes related medication were positively associated with an increase in HbA1c. Adults with T2DM in Arkansas were reasonably able to maintain control of their T2DM during the five months post the first case of COVD-19 diagnosed in the state. However, T2DM self-management interventions targeting those with lower educational levels that are focused on eating habits and/or that improve access to diabetes medication should be considered for future public health emergencies.
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DOI：
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发表时间：
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期刊：
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影响因子：
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Andrabi MS