Louis Potier1,2, Boris Hansel1,2, Etienne Larger3, Jean-François Gautier2,4, Daphné Carreira1,5, Rachel Assemien1,5, Olivier Lantieri1,6, Jean-Pierre Riveline2,4, Ronan Roussel7,2. 1. Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France. 2. Centre de Recherche des Cordeliers, INSERM, Sorbonne Université, Université de Paris, Paris, France. 3. Diabetology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, INSERM, Université de Paris, Paris, France. 4. Diabetology Department, Lariboisiere Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France. 5. Université de Paris, Paris, France. 6. Filieris, Paris, France. 7. Diabetology, Endocrinology and Nutrition Department, Bichat Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France ronan.roussel@aphp.fr.
Abstract
OBJECTIVE: To investigate the impact of coronavirus disease 2019 lockdown on glycemic control and associated factors in people living with type 1 diabetes. RESEARCH DESIGN AND METHODS: An observational evaluation from a self-reported questionnaire on behavioral changes and glycemic information from flash glucose monitoring (FGM) during the lockdown in 1,378 individuals living with type 1 diabetes who used a French dedicated nationwide web application (CoviDIAB). RESULTS: The main outcome was the change of the mean glucose level 2 months before and 1 month after the lockdown. We found that mean glucose improved from 9.1 ± 1.7 mmol/L to 8.7 ± 1.7 mmol/L (P < 0.001). Factors associated with better glycemic control were a decrease of alcohol consumption (odds ratio [OR] 1.75 [95% CI 1.04-2.94]), an increase in the frequency of FGM scans (OR 1.48 [1.04-2.10]) and in the number of hypoglycemia events (OR 1.67 [1.13-2.46]), and an easier diabetes control perception (OR 1.71 [1.18-2.49]). CONCLUSIONS: Our findings suggest that lockdown has a positive impact on glycemic control in people with type 1 diabetes.
OBJECTIVE: To investigate the impact of coronavirus disease 2019 lockdown on glycemic control and associated factors in people living with type 1 diabetes. RESEARCH DESIGN AND METHODS: An observational evaluation from a self-reported questionnaire on behavioral changes and glycemic information from flashglucose monitoring (FGM) during the lockdown in 1,378 individuals living with type 1 diabetes who used a French dedicated nationwide web application (CoviDIAB). RESULTS: The main outcome was the change of the mean glucose level 2 months before and 1 month after the lockdown. We found that mean glucose improved from 9.1 ± 1.7 mmol/L to 8.7 ± 1.7 mmol/L (P < 0.001). Factors associated with better glycemic control were a decrease of alcohol consumption (odds ratio [OR] 1.75 [95% CI 1.04-2.94]), an increase in the frequency of FGM scans (OR 1.48 [1.04-2.10]) and in the number of hypoglycemia events (OR 1.67 [1.13-2.46]), and an easier diabetes control perception (OR 1.71 [1.18-2.49]). CONCLUSIONS: Our findings suggest that lockdown has a positive impact on glycemic control in people with type 1 diabetes.
Authors: Diogo Ramalho; Ana Rouxinol-Dias; Patrícia Tavares; Sara Correia; Lúcia Almeida; Helena Alves; Gustavo Rocha; Maria João Oliveira Journal: Endocrinol Diabetes Nutr Date: 2022-01-31