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Yolanda Mares-Gutiérrez1, Alberto Gallardo-Hernández2, Eduardo Lazcano-Ponce3

  • 1Universidad de la Salud. Ciudad de México, México.. yolanda.mares@unisa.cdmx.gob.mx.

Salud Publica De Mexico
|December 7, 2023
PubMed
Summary
This summary is machine-generated.

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COVID-19 pandemic negatively impacted glycemic control in type 2 diabetes patients in Mexico City. Despite medical attention, pandemic-era patients showed worse outcomes compared to pre-pandemic individuals.

Area of Science:

  • Endocrinology and Metabolism
  • Public Health
  • Epidemiology

Context:

  • The COVID-19 pandemic significantly disrupted healthcare delivery globally.
  • Primary care settings in Mexico City experienced shifts in patient management during the pandemic.
  • Understanding the pandemic's effect on chronic disease management, like diabetes, is crucial.

Purpose:

  • To compare glycemic control in type 2 diabetes mellitus patients before and during the COVID-19 pandemic.
  • To analyze differences in glycemic control (HbA1c levels) between pre-pandemic and pandemic cohorts.
  • To identify factors associated with glycemic dysregulation during the pandemic.

Summary:

  • A study of 23,912 type 2 diabetes patients in Mexico City compared pre-pandemic (2016-2020) and pandemic (2020-2021) cohorts.

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  • Patients during the pandemic exhibited higher average HbA1c levels (8.0%) compared to the pre-pandemic group (7.7%).
  • Despite improvements post-treatment in both groups, pandemic patients showed poorer initial glycemic control.

    • Impact:

    • Highlights the adverse effects of the COVID-19 pandemic on diabetes management in primary care.
    • Provides evidence for the need for targeted interventions to mitigate pandemic-related health disparities.
    • Informs public health strategies for managing chronic conditions during health crises.