Reduction of hypoglycaemia, lifestyle modifications and psychological distress during lockdown following SARS‐CoV‐2 outbreak in type 1 diabetes

Autor: Anna Leonardini, Angelo Cignarelli, Francesca Guarini, Annalisa Natalicchio, Sebastio Perrini, Francesco Giorgino, Fiorella Giordano, Sergio Di Molfetta, Irene Caruso, Luigi Laviola
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Endocrinology
Diabetes and Metabolism
030209 endocrinology & metabolism
030204 cardiovascular system & hematology
Psychological Distress
Disease Outbreaks
Young Adult
03 medical and health sciences
0302 clinical medicine
Endocrinology
Behavior Therapy
Diabetes mellitus
Internal Medicine
Humans
Medicine
Life Style
Pandemics
Retrospective Studies
Type 1 diabetes
SARS-CoV-2
business.industry
Blood Glucose Self-Monitoring
Remote Consultation
COVID-19
Outbreak
Psychological distress
Retrospective cohort study
Middle Aged
medicine.disease
Hypoglycemia
Physical activity level
Diabetes Mellitus
Type 1
Italy
Communicable Disease Control
Quarantine
Emergency medicine
Patient Compliance
Female
Observational study
business
Stress
Psychological
Zdroj: Diabetes/Metabolism Research and Reviews
ISSN: 1520-7560
1520-7552
DOI: 10.1002/dmrr.3404
Popis: AIMS: To assess changes in glucose metrics and their association with psychological distress and lifestyle changes in patients with type 1 diabetes (T1D) using flash glucose monitoring (FGM) during lockdown following severe acute respiratory syndrome coronavirus 2 outbreak. MATERIALS AND METHODS: Single-centre, observational, retrospective study enrolling T1D patients who attended a remote visit on April 2020 at the Endocrinology division of the University Hospital Policlinico Consorziale, Bari, Italy. Lockdown-related changes in physical activity level and dietary habits were assessed on a semi-quantitative basis. Changes in general well-being were assessed by the General Health Questionnaire-12 items with a binary scoring system. Glucose metrics were obtained from the Libreview platform for the first 2 weeks of February 2020 (T0) and the last 2 weeks before the phone visit (T1). RESULTS: Out of 84 patients assessed for eligibility, 48 had sufficient FGM data to be included in the analysis. FGM data analysis revealed significant reductions in coefficient of variation, number of hypoglycaemic events, and time below range, while no changes were found in time in range, time above range, mean sensor glucose, and glucose management indicator. Moreover, the frequency of sweets consumption was inversely related to the occurrence of hypoglycaemic events during lockdown. CONCLUSIONS: Lockdown-related lifestyle changes, albeit unhealthy, may lead to reduction in FGM-derived measures of hypoglycaemia and glycaemic variability in patients with T1D.
Databáze: OpenAIRE
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