Multicenter Study of the Impact of COVID-19 in Type 2 Diabetes Quality Management

• DOI: 10.7754/clin.lab.2023.221129
• Publication Date: 2025-01-14T15:53:34Z
• Authors: Antonio Leon-Justel; Patricia Fernande...; Sandra Fuentes; Salomon Martin; Maria Pareja-Mejia; Maria Martinez-Br...; Inmaculada Dominguez; Joaquin Bobillo; Alfonso Soto-Moreno; Maria Cozar-Leon; Luis Alvarez-Aragon; Maria Roldan; Eduardo Mayoral; Juan Guerrero
• Keywords: 2019-20 coronavirus outbreak

Epidemics and pandemics have been shown to widespread effects on health systems. Diabetes is a condition of particular risk during national emergencies such as the COVID-19 pandemic. The aim this study determine influence in patient's diabetes quality management. We conducted retrospective multicenter cohort study. Data from type 2 patients living Sevilla were included into was divided two observation periods, before COVID-19. Metabolic status assessed using levels hemoglobin A1c (A1C) measured pre- CO-VID-19 period. time interval between sequential A1C tests also measured. well identified loca-tions where burden management clustered their relation with demographic economic factors. total 106,336 four different hospitals. A significant number worsened During first year pandemic, 72,235 did not any control. By data extraction, controls significantly increased by 309 days (from 211 520). In addition, 34,001 who had control period reveal deterioration metabolic status. They showed small but improvement indicated reduced 52 mmol/mol 51 mmol/mol. Just like other group, these increase 29 195 224) controls. substantial clustering for specific locations, mostly along rural southeastern area variations associated socio-demographic variants. Our highlighted great impact exacerbating previous inequities disparities. results highlight need urgent patient intervention areas high burdens poorer