LockdownV1, Main, Exploration, bibRecord, 000624

Assessment of the effect of the COVID-19 lockdown on glycaemic control in people with type 1 diabetes using flash glucose monitoring.

Identifieur interne : 000624 ( Main/Exploration ); précédent : 000623; suivant : 000625

Assessment of the effect of the COVID-19 lockdown on glycaemic control in people with type 1 diabetes using flash glucose monitoring.

Auteurs : A R Dover [Royaume-Uni] ; S A Ritchie [Royaume-Uni] ; J A Mcknight [Royaume-Uni] ; M W J. Strachan [Royaume-Uni] ; N N Zammitt [Royaume-Uni] ; D J Wake [Royaume-Uni] ; S. Forbes [Royaume-Uni] ; R H Stimson [Royaume-Uni] ; F W Gibb [Royaume-Uni]

Source :

Diabetic medicine : a journal of the British Diabetic Association [ 1464-5491 ] ; 2021.

RBID : pubmed:32740984

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Autosurveillance glycémique (méthodes), Diabète de type 1 (sang), Facteurs socioéconomiques (MeSH), Femelle (MeSH), Glycémie (analyse), Humains (MeSH), Hémoglobine A glycosylée (analyse), Mâle (MeSH), Quarantaine (statistiques et données numériques), Écosse (MeSH).
MESH :
- analyse : Glycémie, Hémoglobine A glycosylée.
- méthodes : Autosurveillance glycémique.
- sang : Diabète de type 1.
- statistiques et données numériques : Quarantaine.
- Adulte, Adulte d'âge moyen, Facteurs socioéconomiques, Femelle, Humains, Mâle, Écosse.

English descriptors

KwdEn :
- Adult (MeSH), Blood Glucose (analysis), Blood Glucose Self-Monitoring (methods), COVID-19 (prevention & control), Diabetes Mellitus, Type 1 (blood), Female (MeSH), Glycated Hemoglobin A (analysis), Glycemic Control (statistics & numerical data), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Quarantine (statistics & numerical data), SARS-CoV-2 (MeSH), Scotland (MeSH), Socioeconomic Factors (MeSH).
MESH :
- chemical , analysis : Blood Glucose, Glycated Hemoglobin A.
- geographic : Scotland.
- blood : Diabetes Mellitus, Type 1.
- methods : Blood Glucose Self-Monitoring.
- prevention & control : COVID-19.
- statistics & numerical data : Glycemic Control, Quarantine.
- Adult, Female, Humans, Male, Middle Aged, SARS-CoV-2, Socioeconomic Factors.

Abstract

AIM

To describe the effect of the stringent lockdown measures, introduced in the UK on 23 March 2020 to curtail the transmission of COVID-19, on glycaemic control in people with type 1 diabetes using flash glucose monitoring.

METHODS

We undertook an observational study of 572 individuals with type 1 diabetes for whom paired flash glucose monitoring data were available between early March and May 2020. The primary outcome was change in flash glucose monitoring variables. We also assessed clinical variables associated with change in glycaemic control.

RESULTS

Percentage of time in range increased between March and May 2020 [median (interquartile range) 53 (41-64)% vs 56 (45-68)%; P < 0.001], with associated improvements in standard deviation of glucose (P <0.001) and estimated HbA

CONCLUSIONS

Lockdown was not associated with a significant deterioration in glycaemic control in people with type 1 diabetes using flash glucose monitoring. However, socio-economic deprivation appeared to increase the risk of decline in glycaemic control, which has implications for how support is focused in challenging times.

DOI: 10.1111/dme.14374
PubMed: 32740984
PubMed Central: PMC7436620

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 001E67
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Le document en format XML

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<term>Blood Glucose Self-Monitoring (methods)</term>
<term>COVID-19 (prevention & control)</term>
<term>Diabetes Mellitus, Type 1 (blood)</term>
<term>Female (MeSH)</term>
<term>Glycated Hemoglobin A (analysis)</term>
<term>Glycemic Control (statistics & numerical data)</term>
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<term>Autosurveillance glycémique (méthodes)</term>
<term>Diabète de type 1 (sang)</term>
<term>Facteurs socioéconomiques (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Glycémie (analyse)</term>
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<term>Hémoglobine A glycosylée (analyse)</term>
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<keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Glycémie</term>
<term>Hémoglobine A glycosylée</term>
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<keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Diabetes Mellitus, Type 1</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Blood Glucose Self-Monitoring</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Autosurveillance glycémique</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>COVID-19</term>
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<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Diabète de type 1</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Glycemic Control</term>
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<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Quarantaine</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>SARS-CoV-2</term>
<term>Socioeconomic Factors</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
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<front><div type="abstract" xml:lang="en"><p><b>AIM</b>
</p>
<p>To describe the effect of the stringent lockdown measures, introduced in the UK on 23 March 2020 to curtail the transmission of COVID-19, on glycaemic control in people with type 1 diabetes using flash glucose monitoring.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We undertook an observational study of 572 individuals with type 1 diabetes for whom paired flash glucose monitoring data were available between early March and May 2020. The primary outcome was change in flash glucose monitoring variables. We also assessed clinical variables associated with change in glycaemic control.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Percentage of time in range increased between March and May 2020 [median (interquartile range) 53 (41-64)% vs 56 (45-68)%; P < 0.001], with associated improvements in standard deviation of glucose (P <0.001) and estimated HbA</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Lockdown was not associated with a significant deterioration in glycaemic control in people with type 1 diabetes using flash glucose monitoring. However, socio-economic deprivation appeared to increase the risk of decline in glycaemic control, which has implications for how support is focused in challenging times.</p>
</div>
</front>
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<Abstract><AbstractText Label="AIM">To describe the effect of the stringent lockdown measures, introduced in the UK on 23 March 2020 to curtail the transmission of COVID-19, on glycaemic control in people with type 1 diabetes using flash glucose monitoring.</AbstractText>
<AbstractText Label="METHODS">We undertook an observational study of 572 individuals with type 1 diabetes for whom paired flash glucose monitoring data were available between early March and May 2020. The primary outcome was change in flash glucose monitoring variables. We also assessed clinical variables associated with change in glycaemic control.</AbstractText>
<AbstractText Label="RESULTS">Percentage of time in range increased between March and May 2020 [median (interquartile range) 53 (41-64)% vs 56 (45-68)%; P < 0.001], with associated improvements in standard deviation of glucose (P <0.001) and estimated HbA<sub>1c</sub>
 (P <0.001). There was a small reduction in the number of individuals meeting the hypoglycaemia target of <5% per day (64% vs 58%; P = 0.004). Comparing changes in flash glucose monitoring data from March to May in 2019 with the same period in 2020 confirmed that these differences were confined to 2020. Socio-economic deprivation was an independent predictor of a ≥5% reduction in time in range during lockdown (odds ratio 0.45 for people in the two most affluent Scottish Index of Multiple Deprivation quintiles; P <0.001).</AbstractText>
<AbstractText Label="CONCLUSIONS">Lockdown was not associated with a significant deterioration in glycaemic control in people with type 1 diabetes using flash glucose monitoring. However, socio-economic deprivation appeared to increase the risk of decline in glycaemic control, which has implications for how support is focused in challenging times.</AbstractText>
<CopyrightInformation>© 2020 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dover</LastName>
<ForeName>A R</ForeName>
<Initials>AR</Initials>
<AffiliationInfo><Affiliation>Edinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ritchie</LastName>
<ForeName>S A</ForeName>
<Initials>SA</Initials>
<AffiliationInfo><Affiliation>Edinburgh Centre for Endocrinology and Diabetes, Western General Hospital, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>McKnight</LastName>
<ForeName>J A</ForeName>
<Initials>JA</Initials>
<Identifier Source="ORCID">0000-0002-8214-7625</Identifier>
<AffiliationInfo><Affiliation>Edinburgh Centre for Endocrinology and Diabetes, Western General Hospital, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Strachan</LastName>
<ForeName>M W J</ForeName>
<Initials>MWJ</Initials>
<AffiliationInfo><Affiliation>Edinburgh Centre for Endocrinology and Diabetes, Western General Hospital, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zammitt</LastName>
<ForeName>N N</ForeName>
<Initials>NN</Initials>
<AffiliationInfo><Affiliation>Edinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wake</LastName>
<ForeName>D J</ForeName>
<Initials>DJ</Initials>
<AffiliationInfo><Affiliation>Edinburgh Centre for Endocrinology and Diabetes, Western General Hospital, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Usher Institute, University of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Forbes</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Edinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>University/BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Stimson</LastName>
<ForeName>R H</ForeName>
<Initials>RH</Initials>
<AffiliationInfo><Affiliation>Edinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>University/BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gibb</LastName>
<ForeName>F W</ForeName>
<Initials>FW</Initials>
<Identifier Source="ORCID">0000-0002-5576-6463</Identifier>
<AffiliationInfo><Affiliation>Edinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>University/BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D064888">Observational Study</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>09</Month>
<Day>28</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Diabet Med</MedlineTA>
<NlmUniqueID>8500858</NlmUniqueID>
<ISSNLinking>0742-3071</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D001786">Blood Glucose</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D006442">Glycated Hemoglobin A</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001786" MajorTopicYN="N">Blood Glucose</DescriptorName>
<QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015190" MajorTopicYN="N">Blood Glucose Self-Monitoring</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003922" MajorTopicYN="N">Diabetes Mellitus, Type 1</DescriptorName>
<QualifierName UI="Q000097" MajorTopicYN="Y">blood</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006442" MajorTopicYN="N">Glycated Hemoglobin A</DescriptorName>
<QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000085002" MajorTopicYN="N">Glycemic Control</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011790" MajorTopicYN="N">Quarantine</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="Y">SARS-CoV-2</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012606" MajorTopicYN="N" Type="Geographic">Scotland</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year>
<Month>05</Month>
<Day>18</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2020</Year>
<Month>06</Month>
<Day>12</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2020</Year>
<Month>07</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>8</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>12</Month>
<Day>31</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>8</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32740984</ArticleId>
<ArticleId IdType="doi">10.1111/dme.14374</ArticleId>
<ArticleId IdType="pmc">PMC7436620</ArticleId>
</ArticleIdList>
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</pubmed>
<affiliations><list><country><li>Royaume-Uni</li>
</country>
<region><li>Écosse</li>
</region>
<settlement><li>Édimbourg</li>
</settlement>
<orgName><li>Université d'Édimbourg</li>
</orgName>
</list>
<tree><country name="Royaume-Uni"><region name="Écosse"><name sortKey="Dover, A R" sort="Dover, A R" uniqKey="Dover A" first="A R" last="Dover">A R Dover</name>
</region>
<name sortKey="Forbes, S" sort="Forbes, S" uniqKey="Forbes S" first="S" last="Forbes">S. Forbes</name>
<name sortKey="Forbes, S" sort="Forbes, S" uniqKey="Forbes S" first="S" last="Forbes">S. Forbes</name>
<name sortKey="Gibb, F W" sort="Gibb, F W" uniqKey="Gibb F" first="F W" last="Gibb">F W Gibb</name>
<name sortKey="Gibb, F W" sort="Gibb, F W" uniqKey="Gibb F" first="F W" last="Gibb">F W Gibb</name>
<name sortKey="Mcknight, J A" sort="Mcknight, J A" uniqKey="Mcknight J" first="J A" last="Mcknight">J A Mcknight</name>
<name sortKey="Ritchie, S A" sort="Ritchie, S A" uniqKey="Ritchie S" first="S A" last="Ritchie">S A Ritchie</name>
<name sortKey="Stimson, R H" sort="Stimson, R H" uniqKey="Stimson R" first="R H" last="Stimson">R H Stimson</name>
<name sortKey="Stimson, R H" sort="Stimson, R H" uniqKey="Stimson R" first="R H" last="Stimson">R H Stimson</name>
<name sortKey="Strachan, M W J" sort="Strachan, M W J" uniqKey="Strachan M" first="M W J" last="Strachan">M W J. Strachan</name>
<name sortKey="Wake, D J" sort="Wake, D J" uniqKey="Wake D" first="D J" last="Wake">D J Wake</name>
<name sortKey="Wake, D J" sort="Wake, D J" uniqKey="Wake D" first="D J" last="Wake">D J Wake</name>
<name sortKey="Zammitt, N N" sort="Zammitt, N N" uniqKey="Zammitt N" first="N N" last="Zammitt">N N Zammitt</name>
</country>
</tree>
</affiliations>
</record>

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Assessment of the effect of the COVID-19 lockdown on glycaemic control in people with type 1 diabetes using flash glucose monitoring.

Assessment of the effect of the COVID-19 lockdown on glycaemic control in people with type 1 diabetes using flash glucose monitoring.

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