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Kofoed PE, Timm S. The impact of COVID-19 lockdown on glycaemic control and use of health services among children followed at a Danish diabetes clinic. Acta Paediatr. 2021;doi: 10.1111/apa.16128.
Kofoed, P. E., & Timm, S. (2021). The impact of COVID-19 lockdown on glycaemic control and use of health services among children followed at a Danish diabetes clinic. Acta paediatrica (Oslo, Norway : 1992), . https://doi.org/10.1111/apa.16128
Kofoed, Poul-Erik, and Timm, Signe. "The impact of COVID-19 lockdown on glycaemic control and use of health services among children followed at a Danish diabetes clinic." Acta paediatrica (Oslo, Norway : 1992) vol. (2021). doi: https://doi.org/10.1111/apa.16128
Kofoed PE, Timm S. The impact of COVID-19 lockdown on glycaemic control and use of health services among children followed at a Danish diabetes clinic. Acta Paediatr. 2021 Sep 29; doi: 10.1111/apa.16128. Epub 2021 Sep 29. PMID: 34586678; PMCID: PMC8653272.
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Acta Paediatr. 2021 Sep 29; doi: 10.1111/apa.16128. Epub 2021 Sep 29.

The impact of COVID-19 lockdown on glycaemic control and use of health services among children followed at a Danish diabetes clinic.

Acta paediatrica (Oslo, Norway : 1992)

Poul-Erik Kofoed, Signe Timm

Affiliations

  1. Department of Paediatrics and Adolescent Medicine, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark.
  2. Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
  3. Research unit, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark.

PMID: 34586678 PMCID: PMC8653272 DOI: 10.1111/apa.16128

Abstract

AIM: During COVID-19 restrictions, the paediatric clinic only accepted essential outpatient visits, schools closed, sports activities and social life were limited. Most employees worked at home. This quasi-experiment evaluates how this affected glycaemic control and use of health services among children with diabetes.

METHODS: Paired t-tests were used to compare HbA1c-values before, during and after lockdown. Sub-analyses were stratified by pre-lockdown HbA1c-values.

RESULTS: Overall mean HbA1c decreased from 58.3 to 56.9 mmol/mol (p = 0.025) from pre- to post-lockdown, a decrease also seen during the same season the previous year. HbA1c decreased by -4.2 mmol/mol (p = 0.002) for patients with pre-lockdown HbA1c > 59 mmol/mol, but increased slightly by 0.8 mmol/mol (p = 0.176) for patients with HbA1c < 52 mmol/mol. HbA1c measured 8 months post-lockdown increased again, most pronounced for patients with lowest HbA1c. During lockdown, virtual contacts increased from 0.1 to 0.5 contacts/patient/month and stayed post-lockdown at 0.3 contacts/patient/month.

CONCLUSION: Compared to 2019, overall the COVID-19 restrictions did not influence the glycaemic control negatively. However, patients with pre-lockdown HbA1c < 52 mmol/mol experienced a deterioration, whereas those with HbA1c > 59 mmol/mol experienced an improvement. Less stress and more contact with parents may contribute to the last-mentioned finding. The lockdown enforced more virtual contacts between patients and the clinic.

© 2021 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Keywords: COVID-19; HbA1c; diabetes type 1; metabolic control; virtual contacts

References

  1. Diabetologia. 2020 Nov;63(11):2339-2348 - PubMed
  2. Pediatrics. 1999 May;103(5 Pt 1):948-51 - PubMed
  3. Diabetes Care. 2020 Aug;43(8):e88-e89 - PubMed
  4. Front Endocrinol (Lausanne). 2020 Dec 07;11:595735 - PubMed
  5. Diabetes Res Clin Pract. 2020 Aug;166:108348 - PubMed
  6. Acta Paediatr. 2021 Sep 29;: - PubMed
  7. Pediatr Diabetes. 2014 May;15(3):175-89 - PubMed
  8. Diabetes Educ. 2005 Mar-Apr;31(2):240-50 - PubMed
  9. J Pediatr. 2014 Jun;164(6):1384-9 - PubMed
  10. Acta Paediatr. 2017 Dec;106(12):1987-1993 - PubMed
  11. J Diabetes Res. 2018 Jul 9;2018:9572817 - PubMed
  12. J Sport Health Sci. 2020 Mar;9(2):103-104 - PubMed
  13. J Diabetes Sci Technol. 2020 Jul;14(4):767-768 - PubMed
  14. Diabetes Res Clin Pract. 2020 Sep;167:108354 - PubMed
  15. J Pediatr Health Care. 2016 Jul-Aug;30(4):381-9 - PubMed
  16. Acta Paediatr. 2021 Mar;110(3):933-934 - PubMed
  17. Pediatr Diabetes. 2018 Oct;19 Suppl 27:287-301 - PubMed
  18. Acta Diabetol. 2021 May;58(5):661-664 - PubMed
  19. Diabetes Care. 2016 Nov;39(11):2065-2079 - PubMed
  20. Acta Paediatr. 2010 May;99(5):774-777 - PubMed
  21. Diabetes Res Clin Pract. 2020 Aug;166:108302 - PubMed
  22. J Diabetes Sci Technol. 2012 Mar 01;6(2):380-6 - PubMed
  23. Diabet Med. 2021 Jan;38(1):e14374 - PubMed
  24. Pediatr Diabetes. 2020 Mar;21(2):390-394 - PubMed
  25. Pediatr Diabetes. 2018 Oct;19 Suppl 27:84-104 - PubMed

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