PMID- 33068663 OWN - NLM STAT- MEDLINE DCOM- 20210104 LR - 20210710 IS - 1872-8227 (Electronic) IS - 0168-8227 (Print) IS - 0168-8227 (Linking) VI - 170 DP - 2020 Dec TI - Factors contributing to glycemic control in diabetes mellitus patients complying with home quarantine during the coronavirus disease 2019 (COVID-19) epidemic. PG - 108514 LID - S0168-8227(20)30771-3 [pii] LID - 10.1016/j.diabres.2020.108514 [doi] AB - AIMS: This study assessed factors contributing to glycemic control among diabetes mellitus patients complying with home quarantine during the epidemic of coronavirus disease 2019 (COVID-19). METHODS: We conducted an analytical cross-sectional study by telephone with 1159 patients with type 2 diabetes mellitus (T2DM) and 96 patients with type 1 diabetes mellitus (T1DM) who were discharged from the endocrinology department of a hospital from January 1, 2019, to January 24, 2020. According to their fasting blood glucose (FBG) and 2-h postprandial BG (2hPBG) values, the patients were divided into the well-controlled BG group and the poorly controlled BG group. The main evaluation indicators included sociodemographic variables, health risk variables and adherence to self-management behaviors. RESULTS: In total, 74.46% of the T2DM patients and 64.89% of the T1DM patients had poor glycemic control. T2DM patients with poor glycemic control were more likely to be older (odds ratio (OR): 1.017 [95% confidence interval (CI) 1.003-1.030]; P = 0.013), have fewer than 12 years of education (OR: 1.646 [95% CI 1.202-2.255]; P = 0.002), lack a BG meter at home (OR: 2.728 [95% CI 1.205-6.179]; P = 0.016), have a lower degree of medicationcompliance (OR: 1.627 [95% CI 1.076-2.460]; P = 0.021), and engage in less self-monitoring of BG (SMBG) per week (OR: 10.884 [95% CI 5.883-20.139]; P < 0.001). Fewer than 12 years of education (OR: 3.031 [95% CI 1.112-8.263]; P = 0.030) was a risk factor for glycemic control in T1DM. CONCLUSIONS: Glycemic control among patients with T1DM and T2DM during home quarantine amid the COVID-19 pandemic is poor. Our results showed that more eduction, a higher frequency of SMBG, and improved medication compliance may contribute to glycemic control. Therefore, diabetic patients should be advised to increase the frequency of blood glucose measurements during home quarantine and be re-educated regarding the importance of medication compliance. CI - Copyright (c) 2020 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Tao, Jing AU - Tao J AD - Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: tjskc@126.com. FAU - Gao, Lianlian AU - Gao L AD - Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: 960337659@qq.com. FAU - Liu, Qinghua AU - Liu Q AD - Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: 1374328827@qq.com. FAU - Dong, Kun AU - Dong K AD - Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: kundong2019@hotmail.com. FAU - Huang, Jiaojiao AU - Huang J AD - Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: huangjj1115@163.com. FAU - Peng, Xuemin AU - Peng X AD - Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: pengxuemin163@163.com. FAU - Yang, Yan AU - Yang Y AD - Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: yangyan6910@163.com. FAU - Wang, Hui AU - Wang H AD - Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: tjwhhlb@126.com. FAU - Yu, Xuefeng AU - Yu X AD - Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: xfyu188@163.com. LA - eng PT - Journal Article DEP - 20201015 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 SB - IM MH - COVID-19/*complications MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Glycemic Control/*methods MH - Humans MH - Male MH - Middle Aged MH - Pandemics MH - Quarantine/*methods/psychology MH - Risk Factors MH - SARS-CoV-2/*pathogenicity PMC - PMC7558228 OTO - NOTNLM OT - COVID-19 OT - Diabetes mellitus OT - Diabetes self-management OT - Glycemic control OT - T1DM OT - T2DM COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/10/18 06:00 MHDA- 2021/01/05 06:00 PMCR- 2020/10/15 CRDT- 2020/10/17 20:08 PHST- 2020/06/12 00:00 [received] PHST- 2020/10/01 00:00 [revised] PHST- 2020/10/08 00:00 [accepted] PHST- 2020/10/18 06:00 [pubmed] PHST- 2021/01/05 06:00 [medline] PHST- 2020/10/17 20:08 [entrez] PHST- 2020/10/15 00:00 [pmc-release] AID - S0168-8227(20)30771-3 [pii] AID - 108514 [pii] AID - 10.1016/j.diabres.2020.108514 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2020 Dec;170:108514. doi: 10.1016/j.diabres.2020.108514. Epub 2020 Oct 15.