在COVID-19流行期间应对和风险感知2型糖尿病:它是否影响新陈代谢控制?
María Teresa Alcántara-Garcés1, Alejandra Monserrat Rodríguez-Ramírez1, Ana Cristina García-Ulloa1
1Centro de Atención Integral del Paciente con Diabetes (CAIPaDi) Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
PLOS global public health
|February 13, 2024
概括
2型糖尿病 (T2D) 个体积极应对高COVID-19风险感知,保持了新陈代谢控制. 其他应对方式和较低的风险感知与恶化的脂质谱有关.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 糖尿病和血糖控制不良是严重的COVID-19结果的确定的危险因素.
- COVID-19大流行可能会影响2型糖尿病 (T2D) 患者的应对机制和自我护理行为.
- 在健康危机期间,了解应对风格,风险感知和代谢健康之间的相互作用至关重要.
研究的目的:
- 调查应对方式与COVID-19感知风险之间的关联.
- 评估这些因素对1年内2型糖尿病患者代谢参数变化的影响.
- 确定主动应对和高风险感知是否能减轻大流行期间的不良代谢变化.
主要方法:
- 在COVID-19爆发后的一年内对118名T2D患者进行了前性研究.
- 评估应对方式使用极端风险应对量表和风险感知通过专门的问卷.
- 在基线和随访时记录了临床和代谢参数 (包括脂质和血糖控制).
主要成果:
- 被动应对在女性中更为普遍;低风险感知与年龄较大和精神病相关疾病较少相关.
- 表现出积极应对和高风险感知的患者在代谢参数中没有显著变化.
- 相反,具有其他应对方式和较低风险感知的个人经历了总胆固醇,LDL胆固醇和甘油三酸的增加.
- 根据应对方式或风险感知,没有观察到血糖控制的显著差异.
结论:
- 积极应对与高风险感知相结合,可能在COVID-19大流行期间在T2D患者的不良脂质特征变化中起到保护作用.
- 这些发现强调了心理反应在公共卫生紧急情况期间管理慢性疾病的重要性.
- 旨在促进适应性应对策略和准确的风险评估的干预措施可能对T2D患者有益.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.4K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.4K
Carbohydrate Metabolism
11.1K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.1K
Overview of Carbohydrate Metabolism
1.0K
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
1.0K
Diabetes: Management and Pharmacotherapy
285
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
285
Psychoneuroimmunology: Diabetes and Cancer
29
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
29
Diabetes Mellitus: Overview and Type I Subtype
2.6K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.6K


