Adherence
Strict, short-term lockdown-induced physical inactivity and dietary changes cause significant metabolic worsening (HbA1c increase >0.3%) in approximately 26% of well-controlled type 2 diabetes patients, with pre-lockdown triglyceride levels serving as a predictive marker for this deterioration.
If you have type 2 diabetes, your medication is not a shield against lifestyle collapse. During periods of forced inactivity or dietary change, your blood sugar can deteriorate rapidly, even if you feel 'well-controlled.' Monitor your levels closely during disruptions, and prioritize maintaining basic physical activity and dietary consistency, as these factors may outweigh your medication's immediate effect.
Lockdown determined a relevant short-term metabolic worsening in approximately one-fourth of previously well-controlled type 2 diabetic individuals; pre-lockdown triglycerides were the only parameter able to predict such derangement of glucose control.
Why this rating
Single-center, observational, prospective study with a relatively small sample size (n=114) and no control group, limiting causal generalizability.
Source
Short-term impact of COVID-19 lockdown on metabolic control of patients with well-controlled type 2 diabetes: a single-centre observational study
Edoardo Biancalana et al. · Acta Diabetologica · 2020
DOI 10.1007/s00592-020-01637-y
Related findings · Adherence
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