The early impact of the COVID-19 pandemic on adults with type 1 or type 2 diabetes: A national cohort study
| العنوان: | The early impact of the COVID-19 pandemic on adults with type 1 or type 2 diabetes: A national cohort study |
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| المؤلفون: | Yasmin Jolly, Danielle Hessler, Adijat Asuni, William H. Polonsky, Lawrence Fisher |
| المصدر: | Journal of Diabetes and Its Complications Journal of diabetes and its complications, vol 34, iss 12 Journal of Diabetes and its Complications |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Aging, Glycated Hemoglobin A, Endocrinology, Diabetes and Metabolism, Type 2 diabetes, Telehealth, Health Services Accessibility, Cohort Studies, Endocrinology, Surveys and Questionnaires, Health care, Pandemic, Disease management, Medicine, Disease management (health), Social isolation, Diabetes, Middle Aged, Telemedicine, Social Isolation, Female, medicine.symptom, Type 2, Cohort study, Type 1, Adult, Clinical Sciences, COVID-19 pandemic, Stress, Article, Endocrinology & Metabolism, Clinical Research, Diabetes mellitus, Behavioral and Social Science, Internal Medicine, Diabetes Mellitus, Humans, Metabolic and endocrine, Aged, Glycated Hemoglobin, business.industry, SARS-CoV-2, COVID-19, medicine.disease, Good Health and Well Being, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Psychological, Type 1 and type 2 diabetes, business, Delivery of Health Care, Stress, Psychological, Demography |
| الوصف: | Aims To describe the effects of the COVID-19 pandemic on adults with T1D or T2D in the U.S. Methods Participants, recruited from the Taking Control of Your Diabetes Research Registry, were ≥19 years old and diagnosed with either T1D or T2D for ≥12 months. Participants completed an online survey on a HIPAA-protected platform. Results Completed surveys were received from 763 T1Ds and 619 T2Ds. Average T1D age was 53.3 (SD = 15.3); average T2D age was 64.9 (SD = 10.3). Both samples were predominantly female, non-Hispanic white and well-educated. Average self-reported HbA1c was 6.9 (SD = 1.0; 52 mmol/mol) for T1Ds and 7.1 (SD = 1.1; 54 mmol/mol) for T2Ds. About 40% of respondents reported that all of their diabetes healthcare appointments at the time were cancelled or postponed, 40% reported a switch to telehealth appointments and almost half reported lower overall satisfaction with these visits (compared to pre-pandemic). There were widespread increases in general and diabetes-related stress and social isolation, and negative effects on disease management. About 25% reported increases in highs, lows, and glucose variability in both groups. Conclusion There has been a substantive increase in level of diabetes-related and general life stress and social isolation due to the pandemic, with a significant impact on disease management. Highlights • We find a increases in diabetes-related and general life stress, and social isolation, compared to pre-pandemic status. • We find changes in diet/exercise, more highs/lows, and greater glucose variability, compared to pre-pandemic status. • We find increased use of telemedicine with lower overall satisfaction, compared to pre-pandemic levels. |
| وصف الملف: | application/pdf |
| تدمد: | 1873-460X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::aa76583e2d5bdd5da6f82c2db21cf70fTest https://pubmed.ncbi.nlm.nih.gov/33059981Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....aa76583e2d5bdd5da6f82c2db21cf70f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1873460X |
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