Impact of Preventive and Mandatory Social Isolation in the control of type I diabetes in adults in the Buenos Aires Metropolitan Area
DOI:
https://doi.org/10.56294/cid202382Keywords:
Type 1 Diabetes, Isolation, COVID-19, Eating Habits, Physical ActivityAbstract
Introduction: the measures taken by the Argentine government to avoid contagion of the SARS-CoV-2 virus consisted in what was called Preventive and Mandatory Social Isolation (Aislamiento Social Preventivo y Obligatorio, ASPO), which was established on March 20th of 2020. The disposition restricted medical checkups and physical activity for several months and modified the population’s eating habits. Diabetes Mellitus (DM) is a high incidence and prevalence pathology worldwide. While the majority of the patients suffer from DM II, the percentage of DM I and its peculiarities make worth an analysis regarding the COVID-19 pandemic.
Methods: assessing the impact of ASPO on the metabolic control of patients who live in the Buenos Aires Metropolitan Area (AMBA) during the period March-December 2020.
Results: of the 45 subjects involved in the study, 42,2 % saw an increase in their HbA1c level, did not know the value, or did not get tested. This is a situation of clinical interest for a more exhaustive follow-up. In addition, 60 % of the total gained weight and 38 % decreased the frequency of physical activity, while 35 % did not perform any activity at all. Furthermore, 73,3 % reported having experienced anxiety, 64,4 % apathy, and 60 %, sadness.
Conclusion: the impossibility of carrying out ordinary activities, the suspension or reduction of frequency of physical exercise, and the increase and modification of the quality of meals with the resulting weight gain had an impact on the rising of HbA1c levels during the Preventive and Mandatory Social Isolation
References
1. National Executive Branch, 2020. Boletín Oficial de la República Argentina (government gazette). https://www.boletinoficial.gob.ar/detalleAviso/primera/227042/20200320.
2. Jacho KEE, Paez M del PS. Apoyo social percibido en pacientes con Diabetes Mellitus. Salud, Ciencia y Tecnología 2022;2:84–84. https://doi.org/10.56294/saludcyt202284.
3. Freire RAP, Jara AGP. Resistencia a la insulina como factor desencadenante de dislipidemia. Salud, Ciencia y Tecnología 2022;2:163–163. https://doi.org/10.56294/saludcyt2022163.
4. The DCCT Research Group, 1987. Diabetes Control and Complications Trial (DCCT): Results of Feasibility Study. Diabetes Care, 10(1), 1-19.
5. American Diabetes Association Professional Practice Committee, 2022. Glycemic Targets: Standards of Medical Care in Diabetes—2022. Diabetes Care, 45 (Suplement 1), S83-S96.
6. Honorable Congress of the Argentine Nation, 2013. Act 26,914 Problemática y Prevención de la Diabetes. https://www.boletinoficial.gob.ar/pdf/linkQR/U0k4Tng4NkdlU0k9.
7. Ramalhoa, D., Rouxinol-Dias, A. & Tavares, P. e. a., 2022. Glycaemic control during the COVID-19 pandemic: A catastrophe or a sign of hope for the person with type1 Diabetes Mellitus? Endocrinología, Diabetes y Nutrición- Elsevier, 1(1), 1-7.
8. Asalman, A., Aldossari, M. & Alomani, Z. e. a., 2022. Impact of Coronavirus Disease Lockdown on Children with Type 1 Diabetes Mellitus in Al-Khobar, Saudi Arabia. Cureus, 14(1), 1-14.
9. Hammersen, J., Reschke, F. & Tittel, S. e. a., 2022. Metabolic control during the SARS-CoV-2 lockdown in a large German cohort of pediatric patients with type 1 diabetes: Results from the DPV initiative. Pediatr Diabetes, 1(1), 1-11.
10. Roque Marçal, I. & Fernandes, B. e. a., 2020. The Urgent Need for Recommending Physical Activity for the Management of Diabetes During and Beyond COVID-19 Outbreak. Frontiers in Endocrinology, 11(1), 1-11.
11. Eberle, C. &. S. S., 2021. Impact of COVID-19 lockdown on glycemic control in patients with type 1 and type 2 diabetes mellitus: a systematic review. Diabetology & Metabolic Syndrome, 13(95), 1-8.
12. Morales NTN, Sánchez GPV. Obesidad: genética y biomarcadores diagnósticos. Salud, Ciencia y Tecnología 2023;3:435–435. https://doi.org/10.56294/saludcyt2023435.
13. Aldukhayel, A., 2022. The COVID-19 lockdown does not necessarily worsen diabetes control, in spite of lower physical activity— a systematic review. Endokrynologia Polska, 73(1), 131-148
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Copyright (c) 2023 Maria Isabel Morgner , Lorena Djament (Author)
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