Effects of nationwide lockdown during COVID-19 epidemic on lifestyle and other medical issues of patients with type 2 diabetes in north India
Effects of nationwide lockdown during COVID-19 epidemic on lifestyle and other medical issues of patients with type 2 diabetes in north India
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DOI：
10.1016/j.dsx.2020.05.044
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发表时间：
2020-09-01
影响因子：
10
通讯作者：
Misra, Anoop
中科院分区：
文献类型：
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作者：
Ghosh, Amerta;Arora, Bhavya;Misra, Anoop
背景和目标：在当前的COVID-19大流行期间，印度处于封锁状态，这可能会导致2型糖尿病患者的饮食和生活方式中断。我们的目的是研究生活方式的改变和其他常见的与治疗有关的问题，在我们以前见过和治疗的T2 DM患者。方法：患者（n，150）在锁定前定期随访，通过电话采访（封锁开始45天后）关于生活方式改变、压力和其他糖尿病相关问题的调查结果：21%和23%的患者碳水化合物消耗量和吃零食的频率分别增加。有趣的是，27%的患者报告水果消费量增加。42%的患者运动时间缩短，19%的患者体重增加。23%的患者进行自我血糖监测（SMBG）的频率降低。87%的患者报告了任何形式的“精神压力”。91%的患者的药物和胰岛素供应不间断。远程医疗的知识是目前在69%和大多数（92%），这些患者首选video consultation.Conclusion：在45天的锁定增加碳水化合物的摄入量，减少运动，减少SMBG和广泛的精神压力与T2 DM患者的记录，可能不稳定或加剧高血糖和高血压的因素。还观察到一些积极的变化（例如水果摄入量增加）。(C)2020年印度糖尿病。由爱思唯尔有限公司出版。保留所有权利。
Background and aims: During the current pandemic of COVID-19, India is under lockdown which could cause disruption in diet and lifestyle in patients with type 2 diabetes (T2DM). We aimed to study lifestyle changes and other common issues related to treatment in our previously seen and treated patients with T2DM.Methods: Patients (n, 150) who were regularly following up before lockdown were interviewed telephonically (after 45 days of start of lockdown) regarding lifestyle changes, stress and other diabetesrelated questions.Result: Carbohydrate consumption and frequency of snacking increased in 21% and 23% patients, respectively. Interestingly, 27% patients reported an increase in consumption of fruits. Exercise duration was reduced in 42% and weight gain occurred in 19% patients. Frequency of doing self-monitoring of blood glucose (SMBG) was decreased in 23% patients. 'Mental stress' of any kind was reported in 87% patients. Availability of medicines and insulin was uninterrupted in 91% patients. Knowledge about telemedicine was present in 69% and majority (92%) of these patients preferred video consultation.Conclusion: During 45 days of lockdown increase in carbohydrate intake, decrease in exercise, decreased SMBG and widespread mental stress in patients with T2DM was recorded, factors which may destabilize or exacerbate hyperglycemia and hypertension. Some positive changes (e.g. increased intake of fruits) were also observed. (C) 2020 Diabetes India. Published by Elsevier Ltd. All rights reserved.