The effect of Covid-19 ‘stay home process' on metabolism parameters in diabetes mellitus patients: A single center, cross-sectional study


Gunay Y., Coskun H., Unal E., Tufekci D., Demir A., Bilginer M. C., ...More

Annals of Medical Research, vol.29, no.1, pp.24-30, 2022 (Peer-Reviewed Journal) identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 1
  • Publication Date: 2022
  • Doi Number: 10.5455/annalsmedres.2021.04.348
  • Journal Name: Annals of Medical Research
  • Journal Indexes: EBSCO Education Source, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.24-30
  • Karadeniz Technical University Affiliated: Yes

Abstract

Abstract

Aim: We aimed to investigate the impact of quarantine (stay home process) on laboratory parameters (fasting blood glucose, HbA1c), 

diet, exercise and medication compliance in patients with diabetes mellitus (DM) during the COVID -19 pandemic. 

Materials and Methods: This study included 93 diabetes mellitus patients, who presented to our outpatient clinic. Biochemical 

parameters (glucose, HbA1c, lipid profile), dietary and exercise compliance of the patients were evaluated before and after the threemonth quarantine in Turkey. Frequency of blood glucose measurement, medication compliance, hypoglycemia/hyperglycemia, need 

for hospitalization, and whether patients had an infection were self-reported.

Results: The mean age of the 93 patients included in the study was 56.70 ± 13.51 years. 55.9% (n = 52) of patients were female and 

44.1% (n = 41) were male. 89.2% (n = 83) of participants were type 2 DM and 10.8% (n = 10) were type 1 DM. 82.8% (n = 53) of patients 

were aged between 18 and 64 years. It was found that 78.5% (n = 73) of patients had dietary compliance. We found that 41.9% (n = 

39) of the patients exercised at home, 53.8% (n = 50) took their medications regularly, and 43.0% (n = 40) checked their blood glucose 

daily. When biochemical values were compared before and after the study, a statistically significant decrease in fasting glucose 

(pre-post 141-121 mg/dl) (p=0.026) and body mass index (pre-post 32.00-31.86 kg/m2) (p=0.008) was observed. There was no 

statistically significant difference in HbA1c and lipid levels in our analysis. 

Conclusion: In this study, patients who adhered to their diet and monitored their blood glucose at home during quarantine had more 

stable blood glucose levels. In the future, prevention strategies should be considered for patients with chronic diseases during 

possible quarantines.

Keywords: COVID -19; diabetes mellitus; quarantine