Background

The COVID-19 pandemic and the consequences of lockdown significantly impacted glycemic control.

Aim

To evaluate the impact of the pandemic and lockdown on glycemic control among Egyptian children and adolescents with type 1 diabetes.

Methods

Cross-sectional study conducted through an online questionnaire. The participants were patients with type 1 diabetes and/or their caregivers

Results

A total of 115 valid responses to the questionnaire were received. During the lockdown, almost 64% of patients showed worsening of their HbA1C with significant increment of HbA1c after the lockdown (p < 0.001). Synchronous simple telemedicine service was initiated through phone calls and social media applications, and 97% of the patients and their families were successfully able to continue follow-up. Almost 76% of the patients/caregivers showed moderate stress which was significantly correlated with HbA1C (p < 0.05). Fear of hospital admission and fear from shortage of medical supplies were the main COVID-19-related worries.

Conclusion

The lockdown negatively impacted glycemic control and initiated a set of COVID-19 worries and stress among patients and their caregivers in Egypt. Telemedicine service, even simple tools, is effective and important for the continuity of care among patients. The limited availability and the fear of shortage of medical supply forced patients to ration glucose monitoring.

中文翻译：

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埃及 COVID-19 大流行期间 1 型糖尿病儿童和青少年的血糖控制：一项试点研究

背景

COVID-19 大流行和封锁的后果显着影响了血糖控制。

目标

评估大流行和封锁对埃及 1 型糖尿病儿童和青少年血糖控制的影响。

方法

通过在线问卷进行的横断面研究。参与者是 1 型糖尿病患者和/或其照顾者

结果

问卷共收到115份有效回复。在封锁期间，近 64% 的患者表现出 HbA1C 恶化，封锁后 HbA1c 显着增加（p < 0.001）。通过电话和社交媒体应用程序发起同步简易远程医疗服务，97%的患者及其家属成功继续随访。几乎 76% 的患者/护理人员表现出中度压力，这与 HbA1C 显着相关（p < 0.05）。对住院的恐惧和对医疗用品短缺的恐惧是与 COVID-19 相关的主要担忧。

结论

封锁对血糖控制产生了负面影响，并在埃及的患者及其护理人员中引发了一系列 COVID-19 担忧和压力。远程医疗服务，即使是简单的工具，对于患者护理的连续性都是有效和重要的。有限的可用性和对医疗供应短缺的恐惧迫使患者定量血糖监测。