Background

The world is facing the current COVID-19 pandemic. The pandemic response is affecting routine health care provision all over the world. We aimed to review the relevant literature and highlight challenges in the provision of routine care for patients with diabetes during the COVID-19 outbreak.

Methods

We systematically searched PubMed, ScienceDirect, and Embase databases up till August 13, 2020 and retrieved relevant articles published on difficulties on routine diabetes management during the COVID-19 pandemic.

Results

Through our reading of the recent literature discussing the difficulties of routine healthcare provision for patients with diabetes amid the COVID-19 pandemic, we have identified nine themes as follows: lockdown of standard outpatient clinics, decreased inpatient capacity, staff shortage, medicine shortage, unaffordable medicine, delayed care seeking, limited self-care practice, transport difficulties, and undiagnosed cases/events.

Conclusion

Diabetes management during lockdown is particularly challenging. This review specified a summary of difficulties of diabetes care during COVID-19 pandemic. Healthcare policy makers as well as healthcare providers could take advantage of the results of this review to mitigate the adverse effect of the crisis on provision of routine care for diabetes as well as other chronic conditions.

中文翻译：

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COVID-19 时代常规糖尿病护理的挑战：系统搜索和叙述回顾

背景

当前，世界正面临新冠肺炎 (COVID-19) 大流行。大流行的应对措施正在影响世界各地的常规医疗保健服务。我们的目的是回顾相关文献，并强调在 COVID-19 爆发期间为糖尿病患者提供常规护理所面临的挑战。

方法

我们系统地检索了截至 2020 年 8 月 13 日的 PubMed、ScienceDirect 和 Embase 数据库，并检索了发表的有关 COVID-19 大流行期间常规糖尿病管理困难的相关文章。

结果

通过阅读最近讨论在 COVID-19 大流行期间为糖尿病患者提供常规医疗服务的困难的文献，我们确定了以下九个主题：标准门诊诊所的封锁、住院容量减少、人员短缺、药品短缺、负担不起药物、延迟就医、自我护理实践有限、交通困难和未确诊病例/事件。

结论

封锁期间的糖尿病管理尤其具有挑战性。这篇综述总结了 COVID-19 大流行期间糖尿病护理的困难。医疗保健政策制定者和医疗保健提供者可以利用本次审查的结果来减轻危机对糖尿病和其他慢性病常规护理的不利影响。