Reduction of hypoglycaemia, lifestyle modifications and psychological distress during lockdown following SARS-CoV-2 outbreak in type 1 diabetes.
Adolescent
Adult
Behavior Therapy
/ statistics & numerical data
Blood Glucose Self-Monitoring
COVID-19
/ epidemiology
Communicable Disease Control
Diabetes Mellitus, Type 1
/ blood
Disease Outbreaks
Female
Humans
Hypoglycemia
/ blood
Italy
/ epidemiology
Life Style
Male
Middle Aged
Pandemics
Patient Compliance
/ psychology
Psychological Distress
Quarantine
/ statistics & numerical data
Remote Consultation
Retrospective Studies
SARS-CoV-2
Stress, Psychological
/ epidemiology
Young Adult
COVID-19
FGM
hypoglycaemia
lifestyle
lockdown
type 1 diabetes
Journal
Diabetes/metabolism research and reviews
ISSN: 1520-7560
Titre abrégé: Diabetes Metab Res Rev
Pays: England
ID NLM: 100883450
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
09
08
2020
received:
12
07
2020
accepted:
07
09
2020
pubmed:
13
9
2020
medline:
18
9
2021
entrez:
12
9
2020
Statut:
ppublish
Résumé
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. 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). 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. Lockdown-related lifestyle changes, albeit unhealthy, may lead to reduction in FGM-derived measures of hypoglycaemia and glycaemic variability in patients with T1D.
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
e3404Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
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