Abstract
Aim: To assess the effect of the coronavirus disease 2019 (COVID-19) lockdown on glycaemic control in subjects with type 2 diabetes (T2D).
Materials and methods: In this observational, multicentre, retrospective study conducted in the Lazio region, Italy, we compared the differences in the HbA1c levels of 141 subjects with T2D exposed to lockdown with 123 matched controls with T2D who attended the study centres 1 year before. Basal data were collected from 9 December to 9 March and follow-up data from 3 June to 10 July in 2020 for the lockdown group, and during the same timeframes in 2019 for the control groups. Changes in HbA1c (ΔHbA1c) and body mass index (ΔBMI) during lockdown were compared among patients with different psychological well-being, as evaluated by tertiles of the Psychological General Well-Being Index (PGWBS).
Results: No difference in ΔHbA1c was found between the lockdown and control groups (lockdown group -0.1% [-0.5%-0.3%] vs. control group -0.1% [-0.4%-0.2%]; p = .482). Also, no difference was found in ΔBMI (p = .316) or ΔGlucose (p = .538). In the lockdown group, subjects with worse PGWBS showed a worsening of HbA1c (p = .041 for the trend among PGWBS tertiles) and BMI (p = .022).
Conclusions: The COVID-19 lockdown did not significantly impact glycaemic control in people with T2D. People with poor psychological well-being may experience a worsening a glycaemic control because of restrictions resulting from lockdown. These findings may aid healthcare providers in diabetes management once the second wave of COVID-19 has ended.
Keywords: covid-19 lockdown; glycaemic control; psychological health; type 2 diabetes.
【저자키워드】 type 2 diabetes, COVID-19 lockdown, psychological health, glycaemic control, 【초록키워드】 COVID-19, coronavirus disease, lockdown, Italy, type 2 diabetes, Retrospective study, body mass index, management, Patient, Control, second wave, multicentre, Psychological, Follow-up, BMI, change, T2D, Psychological well-being, index, Healthcare provider, control group, subject, no difference, worsening, control groups, basal, material, Lazio, resulting, collected, significantly, evaluated, conducted, diabete, type 2 diabete, 【제목키워드】 COVID-19, lockdown, subject, Effect,