Impact of COVID-19 pandemic on behavioral changes and glycemic control and a survey of telemedicine in patients with diabetes: A multicenter retrospective observational study

IF 3.2 3区 医学 Journal of Diabetes Investigation Pub Date : 2023-05-15 DOI:10.1111/jdi.14027
Ryotaro Bouchi, Takehiro Sugiyama, Atsushi Goto, Mitsuru Ohsugi, Narihito Yoshioka, Hideki Katagiri, Tomoya Mita, Yushi Hirota, Hiroshi Ikegami, Munehide Matsuhisa, Eiichi Araki, Hiroki Yokoyama, Masae Minami, Katsuya Yamazaki, Hideaki Jinnouchi, Hiroki Ikeda, Hitomi Fujii, Miyuki Nogawa, Masahiro Kaneshige, Kengo Miyo, Kohjiro Ueki
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Abstract

Aims/Introduction

To investigate whether the COVID-19 pandemic affected behavioral changes and glycemic control in patients with diabetes and to conduct a survey of telemedicine during the pandemic.

Materials and Methods

In this retrospective study, a total of 2,348 patients were included from 15 medical facilities. Patients were surveyed about their lifestyle changes and attitudes toward telemedicine. Hemoglobin A1c (HbA1c) levels were compared among before (from June 1 to August 31, 2019) and in the first (from June 1 to August 31, 2020) and in the second (from June 1 to August 31, 2021) year of the pandemic. A survey of physician attitudes toward telemedicine was also conducted.

Results

The HbA1c levels were comparable between 2019 (7.27 ± 0.97%), 2020 (7.28 ± 0.92%), and 2021 (7.25 ± 0.94%) without statistical difference between each of those 3 years. Prescriptions for diabetes medications increased during the period. The frequency of eating out was drastically reduced (51.7% in 2019; 30.1% in 2020), and physical activity decreased during the pandemic (48.1% in 2019; 41.4% in 2020; 43.3% in 2021). Both patients and physicians cited increased convenience and reduced risk of infection as their expectations for telemedicine, while the lack of physician–patient interaction and the impossibility of consultation and examination were cited as sources of concern.

Conclusions

Our data suggest that glycemic control did not deteriorate during the COVID-19 pandemic with appropriate intensification of diabetes treatment in patients with diabetes who continued to attend specialized diabetes care facilities, and that patients and physicians shared the same expectations and concerns about telemedicine.

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新冠肺炎大流行对糖尿病患者行为改变和血糖控制的影响及远程医疗调查:一项多中心回顾性观察研究
目的/简介调查新冠肺炎疫情对糖尿病患者行为改变和血糖控制的影响,开展疫情期间远程医疗情况调查。材料与方法本研究共纳入来自15家医疗机构的2,348例患者。调查了患者的生活方式变化和对远程医疗的态度。比较了大流行前(2019年6月1日至8月31日)、第一年(2020年6月1日至8月31日)和第二年(2021年6月1日至8月31日)的血红蛋白A1c水平。对医生对远程医疗的态度也进行了调查。结果2019年(7.27±0.97%)、2020年(7.28±0.92%)、2021年(7.25±0.94%)3年HbA1c水平具有可比性,无统计学差异。在此期间,糖尿病药物的处方增加了。外出就餐的频率大幅下降(2019年为51.7%;大流行期间身体活动减少(2019年为48.1%;2020年41.4%;2021年为43.3%)。患者和医生都表示,他们对远程医疗的期望是增加便利性和降低感染风险,而缺乏医患互动和无法进行咨询和检查则被认为是令人担忧的问题。我们的数据表明,在2019冠状病毒病大流行期间,继续在专门的糖尿病护理机构就诊的糖尿病患者通过适当加强糖尿病治疗,血糖控制没有恶化,患者和医生对远程医疗有相同的期望和担忧。
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来源期刊
Journal of Diabetes Investigation
Journal of Diabetes Investigation Medicine-Internal Medicine
自引率
9.40%
发文量
218
期刊介绍: Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).
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