Influence of the stage of emergency declaration due to the coronavirus disease 2019 outbreak on plasma glucose control of patients with diabetes mellitus in the Saku region of Japan

  • Watanabe Takuya
    Department of Endocrinology and Metabolism, Saku Central Hospital Advanced Care Center, Japan
  • Temma Yuichi
    Department of Endocrinology and Metabolism, Saku Central Hospital Advanced Care Center, Japan
  • Okada Junichi
    Department of Medicine, Division of Endocrinology, Albert Einstein College of Medicine, USA
  • Yamada Eijiro
    Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan
  • Saito Tsugumichi
    Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan
  • Okada Kazuya
    Omagari Kosei Medical Center, Japan
  • Nakajima Yasuyo
    Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan
  • Ozawa Atsushi
    Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan
  • Takamizawa Tetsuya
    Department of Endocrinology and Metabolism, Saku Central Hospital Advanced Care Center, Japan
  • Horigome Mitsuaki
    Department of Endocrinology and Metabolism, Saku Central Hospital Advanced Care Center, Japan
  • Okada Shuichi
    Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan
  • Yamada Masanobu
    Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan

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<p>Objective: Because patients with diabetes mellitus (DM) were forced to stay indoors during the state of emergency, resulting in stress and a lack of physical activity, concerns about their glycemic control were raised.</p><p>Patients and Methods: The 165 patients’ glycated hemoglobin (HbA1c) levels were compared during the following periods: the 4 months that were selected as a representative condition 1 year before the COVID-19 pandemic (May 2018, March 2019, June 2019, and July 2019) and the latter 3 months as a 1-year follow-up during the COVID-19 pandemic (May 2019, March 2020, June 2020, and July 2020).</p><p>Results: The patients’ HbA1c levels were 7.32 ± 1.23, 7.44 ± 1.20, 7.16 ± 1.06, 7.01 ± 1.05, 7.23 ± 1.06, 7.45 ± 1.18, 7.15 ± 10.7, and 7.11 ± 1.17 in May 2018, March 2019, June 2019, July 2019, May 2019, March 2020, June 2020, and July 2020, respectively (expressed as mean ± standard deviation).</p><p>Conclusion: The analysis showed that HbA1c levels did not worsen during the self-restraint period.</p>

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