The impact of war on people with type 2 diabetes in Ukraine: a survey studyResearch in context

Autor: Oksana Sulaieva, Viktoriia Yerokhovych, Sergii Zemskov, Iuliia Komisarenko, Vitalii Gurianov, Volodymyr Pankiv, Oleksandr Tovkai, Tetyana Yuzvenko, Violetta Yuzvenko, Andrii Tovkai, Zlatoslava Shaienko, Tetyana Falalyeyeva, Nadiya Skrypnyk, Taras Romaniv, Nadiya Pasyechko, Taras Krytskyy, Solomiia Danyliuk, Andrii Klantsa, Dmytro Krasnienkov, Oleksandr Gurbych, Nazarii Kobyliak
Jazyk: angličtina
Rok vydání: 2025
Předmět:
Zdroj: EClinicalMedicine, Vol 79, Iss , Pp 103008- (2025)
Druh dokumentu: article
ISSN: 2589-5370
DOI: 10.1016/j.eclinm.2024.103008
Popis: Summary: Background: Although the number of studies reporting war-induced effects on the health of the Ukrainian population has been growing, there are still little data on assessing patients with type 2 diabetes (T2D) during the war. This study aimed to evaluate the impact of war on T2D patients’ health to define key risk factors promoting disease progression. Methods: A survey covering various aspects of T2D patients’ experience and glycemic control data was conducted from June 2022 to February 2024. Overall, 1193 patients from all regions of Ukraine were enrolled in the study. According to the difference between the initial and current levels of HbA1c, all the respondents were subdivided into two categories: progressors (with HbA1c levels greater than 5% of the initial value) and stable (patients with stable HbA1c levels). Next, the impact of intrinsic and war-related factors on T2D progression was assessed via logistic regression analysis and machine learning tools. Findings: Two years of war experience was associated with significant increase in the median HbA1c from 7.8% (7.0–8.93) to 8.4% (7.4–9.9; p
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