People living with type 1 diabetes point of view in COVID-19 times (COVIDT1 study): Disease impact, health system pitfalls and lessons for the future.

Cristina Tejera-Perez, Óscar Moreno-Pérez, Jose Rios, Rebeca Reyes-García

Journal: Diabetes research and clinical practice 2021;171():108547

PMID: 33278422

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Abstract

AIMS

To analyse the effects of confinement among people with type 1 diabetes (T1D) and their caregivers over the course of the COVID-19 crisis and to evaluate contemporary changes in medical assistance and patient preferences.

METHODS

An observational cross-sectional study designed as a self-reported web-based survey was conducted over the course of the COVID-19 pandemic.

RESULTS

A total of 769 subjects participated in the survey (603 people with T1D and 166 caregivers). Changes in glycaemic control were reported in 66% of cases, weight gain in 40.4% of cases and decreased exercise levels in 65.4% of cases. Of the cohort, 53% maintained contact with the healthcare team, and 23% received specific information related to COVID-19. Emotional support was requested by 17% of respondents. Regarding telemedicine, 97.9% agreed with its use with the following preferences regarding the future: telephone call (84.5%), video-call (60.6%) and platform devices (39.7%).

CONCLUSIONS

Over the course of the COVID-19 pandemic, at least two-thirds of people with T1D underwent changes in the management of their condition. Almost all participants agreed with the concept of telemedicine, favouring telephone and video calls as their preferred means of communication.

Address: Unidad de Endocrinología y Nutrición, Complejo Hospitalario Universitario de Ferrol, Spain. Electronic address: [email protected].; Endocrinology and Nutrition department, Alicante General University Hospital - Alicante Institute of Health and Biomedical Research (ISABIAL), Alicante, Spain; Clinical Medicine department, Miguel Hernández University, Elche, Spain. Electronic address: [email protected].; Medical Statistics Core Facility, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) and Hospital Clinic, Barcelona, Spain. Biostatistics Unit, Faculty of Medicine, Universitat Autònoma de Barcelona. Electronic address: [email protected].; Unidad de Endocrinología y Nutrición. Hospital Universitario Torrecárdenas, Almería, Spain. CIBERFES, Instituto de Salud Carlos III. Electronic address: [email protected].

DOI: 10.1016/j.diabres.2020.108547

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MeSH Terms: Adolescent, Adult, Aged, COVID-19, Caregivers, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Disease Management, Female, Humans, Male, Medical Assistance, Middle Aged, SARS-CoV-2, Spain, Surveys and Questionnaires, Telemedicine, Young Adult