Table 3.
Studies on diabetes mellitus
First author (Journal) | Country (ies) | Type of study | Main subject | Objectives | Age (n) | Lockdown /school closure and time of data collection | Outcome measures | Other factors (inequalities) | Summary of results |
Brener A, et al. (Acta Diabetol)26 | Israel | Follow-up | Clinical control of T1D | To assess the impact of COVID-19 lockdown on the glycaemic control of paediatric patients with T1D. | 102 T1DM patients (52.9% males), mean age 11.2 years, mean diabetes duration 4.2y | rom 23 February 2020 to 7 March 2020 and during the lockdown from 25 March 2020 to 7 April 2020. | Mean glucose level, time-in-range (TIR, 70–180 mg/dL; 3.9–10 mmol/L), hypoglycaemic (<54 mg/dL;<3 mmol/L), hyperglycaemic (>250 mg/dL;>13.3 mmol/L), coefficient of variation, and time CGM active before and during lockdown. | Age, sex, households (single/two parents), soicoeconomic position by home address SEP cluster and SEP index | In the younger age group, a multiple linear regression model revealed associations of age and lower SEP cluster with delta-TIR (F=4.416, p=0.019) and with delta-mean glucose (F=4.459, p=0.018). No significant correlations were found in the adolescent age group. |
Christoforidis A, et al. (Diabetes Res Clin Pract)27 | Greece | Follow-up | T1DM control | To monitor the effect of the lockdown in glycaemic variability, insulin requirements and eating portions and habits in children with T1DM wearing insulin pump equipped with a continuous glucose monitoring system | 34 out of 250 children with T1DM, mean age=11.3y | 3 weeks before and 3 weeks after March 10 (starting lockdown and school closure) | Control of insulin pump equipped and glucose metabolism | A higher CV indicating an increased glucose variability in the pre-lockdown period was observed (39.52% vs 37.40%, p=0.011). No significant difference was recorded regarding the total daily dose of insulin and the reported carbohydrates consumed, however, meal schedule has changed. | |
Di Dalmazi G, et al. (BMJ Open Diabetes Res Care)28 | Italy (Orsola Policlinic, Bologna) | A cohort of DM-1 | Clinical control in diabetics | To investigate continuous glucose monitoring (CGM) metrics in children and adults with T1D during lockdown and to identify their potentially related factors. | 130 consecutive patients with T1DM (30 children (≤12 years), 24 teenagers (13–17 years), | Before the lockdown in Italy, from 20 February to 10 March 2020, and also January 30 to February 19 (pre-lockdown) and 20 days starting from that date, from 11 to 30 March 2020 (during lockdown). | Outcome measures: index of glucose control: GMI, LBG index, etc | In children, significantly lower (improvement) glucose SD (SDglu) (p=0.029) and time below range (TBR) <54 mg/dL (TBR2) (p=0.029) were detected after lockdown. CGM metrics were comparable in teenagers before and during lockdown. |
GMI, glucose management indicator; LBG, low blood glucose index; SEP, socioeconomic position.