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Impact of Social Distancing Due to Coronavirus Disease 2019 on the Changes in Glycosylated Hemoglobin Level in People with Type 2 Diabetes Mellitus

Diabetes & Metabolism Journal 2021년 45권 1호 p.109 ~ 114
Park Sung-Don, 김성우, 문준성, 이인영, 조난희, 이지현, 전재한, 최연경, 김미경, 박근규,
소속 상세정보
 ( Park Sung-Don ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Internal Medicine
김성우 ( Kim Sung-Woo ) - Daegu Catholic University School of Medicine Daegu Catholic University Hospital Department of Internal Medicine
문준성 ( Moon Jun-Sung ) - Yeungnam University College of Medicine Yeungnam University Hospital Department of Internal Medicine
이인영 ( Lee Yin-Young ) - Yeungnam University College of Medicine Yeungnam University Hospital Department of Internal Medicine
조난희 ( Cho Nan-Hee ) - Keimyung University School of Medicine Keimyung University Dongsan Hospital Department of Internal Medicine
이지현 ( Lee Ji-Hyun ) - Daegu Catholic University School of Medicine Daegu Catholic University Hospital Department of Internal Medicine
전재한 ( Jeon Jae-Han ) - Kyungpook National University School of Medicine Kyungpook National University Chilgok Hospital Department of Internal Medicine
최연경 ( Choi Yeon-Kyung ) - Kyungpook National University School of Medicine Kyungpook National University Chilgok Hospital Department of Internal Medicine
김미경 ( Kim Mi-Kyung ) - Keimyung University School of Medicine Keimyung University Dongsan Hospital Department of Internal Medicine
박근규 ( Park Keun-Gyu ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Internal Medicine

Abstract


This study investigated the impact of social distancing due to coronavirus disease 2019 (COVID-19) on glycemic control in people with type 2 diabetes mellitus (T2DM). We retrospectively analyzed the change in glycosylated hemoglobin level (ΔHbA1c) in people with T2DM who undertook social distancing because of COVID-19. We compared the ΔHbA1c between COVID-19 and non-COVID-19 cohorts that were enrolled at the same time of year. The ΔHbA1c of the COVID-19 cohort was significantly higher than that of two non-COVID-19 cohorts. Subgroup analysis according to age and baseline HbA1c level showed that social distancing significantly increased the mean HbA1c level of participants of <50 years. The ΔHbA1c of participants of <50 years and with HbA1c <7.0% in the COVID-19 cohort showed larger changes than other subgroups. In adjusted model, adjusted ΔHbA1c levels in the COVID-19 cohort remained significantly higher than those in the two other cohorts. Social distancing negatively impacts blood glucose control in people with T2DM, especially those who are younger and have good blood glucose control.

키워드

COVID-19; Glycated hemoglobin; Social distancing

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