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2019年冠状病毒病疫情对糖尿病前期和糖尿病患者整体健康的影响

Impact of the COVID-19 Pandemic on the Overall Health of Patients With Pre-diabetes and Diabetes.

作者信息

Patel Goonja, Singhal Sachi, Kaur Komaldeep, Jotwani Pooja, Budziszewski Ross, Fay Courtney

机构信息

Internal Medicine, Crozer-Chester Medical Center, Upland, USA.

Academic Affairs, Crozer-Chester Medical Center, Upland, USA.

出版信息

Cureus. 2022 Oct 19;14(10):e30477. doi: 10.7759/cureus.30477. eCollection 2022 Oct.

Abstract

Coronavirus disease 2019 (COVID-19) impacted those with chronic diseases worldwide, especially those with diabetes. Very few studies have explored the effect of COVID-19 on diabetic patients' health markers. The present retrospective study compared various health markers of diabetic patients before and during the COVID-19 pandemic. Patients (= 511) displayed a significant increase in systolic blood pressure, hemoglobin A1c (HbA1c), diabetic medications, and dose of insulin (p< 0.05) as well as a decrease in low density lipoprotein (LDL) levels (p = 0.04). When patients were stratified by body mass index (BMI), those in higher BMI categories were more negatively impacted during the pandemic than those in lower categories. Results display the impact that COVID-19 had on the general well-being of diabetic patients, and should encourage providers to increase telehealth visits when in-person visits are not possible.

摘要

2019冠状病毒病(COVID-19)对全球慢性病患者产生了影响,尤其是糖尿病患者。很少有研究探讨COVID-19对糖尿病患者健康指标的影响。本回顾性研究比较了COVID-19大流行之前和期间糖尿病患者的各种健康指标。511名患者的收缩压、糖化血红蛋白(HbA1c)、糖尿病药物和胰岛素剂量显著增加(p<0.05),而低密度脂蛋白(LDL)水平降低(p = 0.04)。当按体重指数(BMI)对患者进行分层时,BMI较高类别的患者在大流行期间受到的负面影响比BMI较低类别的患者更大。结果显示了COVID-19对糖尿病患者总体健康的影响,并应鼓励医疗服务提供者在无法进行面对面就诊时增加远程医疗就诊。

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