Diabetes self-management amid COVID-19 pandemic

Banerjee, Mainak; Chakraborty, Soumen; Pal, Rimesh

doi:10.1016/j.dsx.2020.04.013

Cited by 205 publications

(240 citation statements)

References 21 publications

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“…COVID e 19 pandemic has affected the psychological health of normal people as well as the people with diabetes. The steps advised as preventive measures like social distancing & lockdown in breaking the chain of spread of the virus have increased the stress and anxiety among the people [7].…”

Section: Discussionmentioning

confidence: 99%

Coping with diabetes during the COVID – 19 lockdown in India: Results of an online pilot survey

Nachimuthu

Vijayalakshmi

Sudha

et al. 2020

Diabetes & Metabolic Syndrome: Clinical Research & Revi

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Aim: The management of diabetes has become a challenge due to the COVID 19 lockdown. An onlinebased pilot survey was conducted to study how people with diabetes were coping with their Diabetes during the COVID-19 lockdown. Method: The questions were designed in an online survey, Survey Monkey, to conduct this crosssectional study. The link was generated and sent to 100 registered patients of the MV Hospital for Diabetes Royapuram who had not contacted the hospital after the lockdown announcement. The survey was done between April 1 and April 15, 2020.Oral consent was obtained through telephone before the link was sent by Whatsapp to them.The questionnaire consisted of questions on home blood glucose monitoring, regularity in doing their physical activity and dietary compliance and anxiety about the viral infection. Results: 92% of the participants had Type 2 diabetes. Only 28% of the participants were checking their blood glucose levels regularly. 80% of the participants mentioned that they were following regular exercise and diet control during the lockdown period. 40% of the participants were anxious about the Covid infection. Conclusion: SMBG needs to be practiced on regular basis, especially among the patients with diabetes on insulin therapy. Most of the people surveyed were coping well with their Diabetes. Patients have reported that they were able to maintain proper dietary compliance and be more physically active at home during this lockdown. These findings need to be ascertained in larger sample of patients.

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Section: Discussionmentioning

confidence: 99%

Coping with diabetes during the COVID – 19 lockdown in India: Results of an online pilot survey

Nachimuthu

Vijayalakshmi

Sudha

et al. 2020

Diabetes & Metabolic Syndrome: Clinical Research & Revi

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“…Good glycemic control should be targeted as it would help boost the innate immune system [4,35]. However, widespread nationwide lockdowns would curtail their routine in-clinic visits, limit their physical activity, alter their food habits and adversely affect their psychological health; all these would ultimately lead to poor glycemic control [36]. Infact, a recent study from China had shown that elderly subjects with type 2 diabetes mellitus had higher fasting blood glucose during the COVID-19 pandemic [37].…”

Section: Management Of Diabetes Mellitus Amid Covid-19 Pandemicmentioning

confidence: 99%

COVID-19 and diabetes mellitus: An unholy interaction of two pandemics

Pal

Bhadada

2020

Diabetes & Metabolic Syndrome: Clinical Research & Revi

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241

193

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Background and aims: Diabetes mellitus is associated with poor prognosis in patients with COVID-19. On the other hand, COVID-19 contributes to worsening of dysglycemia in people with diabetes mellitus over and above that contributed by stress hyperglycemia. Herein, we have reviewed the two-way interactions between COVID-19 and diabetes mellitus. Methods: We have performed an extensive literature search for articles in PubMed, EMBASE and Google Scholar databases till April 25, 2020, with the following keywords: "COVID-19", "SARS-CoV-2", "diabetes", "diabetes mellitus", "SARS", "infection" and "management of diabetes mellitus" with interposition of the Boolean operator "AND". Results: Compromised innate immunity, pro-inflammatory cytokine milieu, reduced expression of ACE2 and use of renin-angiotensin-aldosterone system antagonists in people with diabetes mellitus contribute to poor prognosis in COVID-19. On the contrary, direct b-cell damage, cytokine-induced insulin resistance, hypokalemia and drugs used in the treatment of COVID-19 (like corticosteroids, lopinavir/ritonavir) can contribute to worsening of glucose control in people with diabetes mellitus. Conclusions: The two-way interaction between COVID-19 and diabetes mellitus sets up a vicious cycle wherein COVID-19 leads to worsening of dysglycemia and diabetes mellitus, in turn, exacerbates the severity of COVID-19. Thus, it is imperative that people with diabetes mellitus take all necessary precautions and ensure good glycemic control amid the ongoing pandemic.

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“…Rogers et al [20] argue convincingly that the role of podiatry in the coming months and years as the full impact of COVID-19 plays out is to stand up and take a leading role in managing lower limb health in people with diabetes. Banerjee et al [65] identified the barriers to diabetes selfmanagement during the pandemic, and suggested possible solutions to overcome these. South Africa has a serious shortage of podiatrists and inadequate provision of foot care in both private and State Health Services.…”

Section: Vulnerable Patients: Diabetes Older Peoplementioning

confidence: 99%

COVID-19 Pandemic and the South African Podiatrist

Zipfel¹,

Dembskey²

2020

Preprint

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The Coronavirus disease 2019 (COVID-19) pandemic is clearly taking a firmer grip on South Africa and more podiatrists will face the potential transmission of SARS-CoV-2. Government response was swift with the implementation of a travel ban, strict national lockdown as well as social distancing and hygiene protocols in line with international health regulations. Co-morbidities such as tuberculosis and HIV/AIDS, endemic to South Africa, are considered a dangerous combination with COVID-19, making many South Africans vulnerable to contracting the COVID-19. Patients with diabetes as well as the aged are vulnerable, both in terms of potential combined complications and challenges in continuity in foot care. The demands of the pandemic may outstrip the ability of the health systems to cope. Should this time arrive, all healthcare practitioners, including podiatrists, would have to step in and take on a role beyond their scope of practice in order to ensure that the healthcare system does not get overwhelmed. It is important for podiatrists to keep abreast with the developments around the COVID-19, in order that they may institute appropriate clinical practice which will ensure maximum protection for themselves, staff and patients as well as providing quality foot health care.

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Diabetes self-management amid COVID-19 pandemic

Cited by 205 publications

References 21 publications

Coping with diabetes during the COVID – 19 lockdown in India: Results of an online pilot survey

Coping with diabetes during the COVID – 19 lockdown in India: Results of an online pilot survey

COVID-19 and diabetes mellitus: An unholy interaction of two pandemics

COVID-19 Pandemic and the South African Podiatrist

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