Type 2 & other diabetes

Analysis of glycemic control in diabetic patients by monitoring HbA1c levels before, during and after Covid-19 confinement in Auvergne, France

Diabetes MetabPublished Retrospective descriptive study

Authors' conclusion

Confinement had no impact on HbA1c levels in diabetic patients.

Study context

Population
Diabetic patients >18 years with ≥1 HbA1c test before and after confinement, medical analysis laboratories in Auvergne, France; HbA1c measurements March 17, 2019 to May 11, 2021
Participants
70,286 patients
Exposure
HbA1c before vs after COVID-19 confinement
Outcome
HbA1c
Methodological detailsmulticentre laboratory data, regional (Auvergne, France)
  • Multicentre laboratory data
  • Regional (Auvergne, France)

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

HbA1c reduction in year after confinement, preconfinement HbA1c ≥ 9 % · year following confinement

Larger median reduction in HbA1c
0.90 % points

HbA1c test performed during confinement

Patients tested during confinement
24.5 %
Majority of those tested were >80 years with preconfinement average HbA1c 7–9 %

Average HbA1c increase ≥1 percentage point after confinement

Patients with increase
5.1 %
At risk of glycemic imbalance after confinement: age ≤ 64, insufficient blood tests before confinement, HbA1c imbalance before confinement

Original publication

Analysis of glycemic control in diabetic patients by monitoring HbA1c levels before, during and after Covid-19 confinement in Auvergne, France. Diabetes Metab. Published 5 December 2024. doi:10.1016/j.diabet.2024.101597

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