2021
DOI: 10.1016/j.pcd.2020.11.013
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Seasonal variations in HbA1c among type 2 diabetes patients on a semi-arid climate between the years 2005–2015

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Cited by 10 publications
(11 citation statements)
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“…The results of the study showed differences in maximum and minimum monthly HbA1c in 2018 and 2019 of 0.33% and 0.37%, respectively. These findings are similar to those in previous studies showing differences of about 0.2–0.5% [ 6 8 , 15 , 16 , 20 ]. HbA1c was higher in winter–spring and reached a nadir in summer–autumn in both years, which is also consistent with previous studies showing a higher HbA1c in cooler seasons and a nadir in hotter seasons [ 6 17 ].…”
Section: Discussionsupporting
confidence: 93%
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“…The results of the study showed differences in maximum and minimum monthly HbA1c in 2018 and 2019 of 0.33% and 0.37%, respectively. These findings are similar to those in previous studies showing differences of about 0.2–0.5% [ 6 8 , 15 , 16 , 20 ]. HbA1c was higher in winter–spring and reached a nadir in summer–autumn in both years, which is also consistent with previous studies showing a higher HbA1c in cooler seasons and a nadir in hotter seasons [ 6 17 ].…”
Section: Discussionsupporting
confidence: 93%
“…However, the HbA1c value is also influenced by conditions, such as hemodialysis, age, genetic background, race/ethnicity, anemia and hemoglobinopathies [4]. HbA1c also shows seasonal variations in type 1 and type 2 diabetes, with higher levels in winter (cooler season) and nadir levels in summer (warmer season) [6][7][8][9][10][11][12][13][14][15][16][17][18], although different seasonal variations have also been suggested [19,20]. Therefore, treatment in which seasonal variations are taken into consideration may be desirable to achieve good glycemic control.…”
Section: Introductionmentioning
confidence: 99%
“…This better glycemic control in summer and autumn than in winter may have been due to the seasonal decline reported in many DM patients. Possible factors for seasonal variation include increased an caloric intake and decreased physical activity in winter and endogenous biological rhythms ( 24 - 26 ). However, there was no seasonal decline in HbA1c in 2020, and in fact, the HbA1c value increased during and after the state of emergency ( Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Likewise, when ambient temperature is low, the body will want to generate heat and thus increase the rate of metabolism. Studies in this area of research have yielded conflicting results, with many studies finding that HbA1c levels are higher in the winter months and lower in summer months ( Gikas et al, 2009 ; Higgins et al, 2009 ; Hou et al, 2017 ; Pereira et al, 2015 ; Sakura et al, 2010 ; Shen et al, 2019 ), but also many that found positive correlations between ambient temperature and HbA1c and higher HbA1c levels in the spring ( Alghamdi et al, 2020 ; Kim et al, 2014 ; Raphael et al, 2021 ). Regardless of the direction of association, glucose levels would be affected by these changes.…”
Section: Discussionmentioning
confidence: 99%