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Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Diabetes+Complications 2020 ; 34 (12): 107748 Nephropedia Template TP
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The early impact of the COVID-19 pandemic on adults with type 1 or type 2 diabetes: A national cohort study #MMPMID33059981
Fisher L; Polonsky W; Asuni A; Jolly Y; Hessler D
J Diabetes Complications 2020[Dec]; 34 (12): 107748 PMID33059981show ga
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.
|*SARS-CoV-2[MESH]
|Adult[MESH]
|Aged[MESH]
|COVID-19/*psychology[MESH]
|Cohort Studies[MESH]
|Delivery of Health Care/statistics & numerical data[MESH]
|Diabetes Mellitus, Type 1/*psychology/*therapy[MESH]
|Diabetes Mellitus, Type 2/*psychology/*therapy[MESH]