Title: Effects of Lockdown and Movement Restriction on Glycaemic Status among Diabetics ELMoGS Study
Authors: Swastik Sharma, Dr Harharpreet Kaur
DOI: https://dx.doi.org/10.18535/jmscr/v9i5.29
Abstract
Background and Objectives: Widespread, lockdowns were placed throughout the world due to the risk of COVID infection. This has caused, most of the population including those with chronic diseases to be restricted to their homes with the possibility of reduced physical activity and weight gain. The patients of diabetes mellitus are more prone to incur COVID 19 infection. The aim of the study was to determine the effect of this change in life style on their disease status. It will also help prepare the target population for possibilities of any future lockdowns.
Material & Methods: The study was conducted during the National Lockdown(s) with the help of voluntary collection of data regarding the glycaemic status, self-monitored by the participants at home. A questionnaire1 designed to filter out biases and match the relevance of symptomatology was employed. Two groups were formed, one with digital monitoring of blood sugar and other with empirical symptomatology reporting. Data was collected over a period of 60 days during the first week of April to last week of May, 2020.
Results: Fifty five percent respondents were found to have significantly high blood glucose compared to before the lockdown, and nineteen percent had symptoms consistent with hyperglycaemia. In total 74 percent of the surveyed were hyperglycaemic.
Interpretation and Conclusions: The survey studies have indicated that many patients of diabetes mellitus can be expected to have a deterioration in the glycaemic status and therefore worsened signs, symptoms and more complications of this disease. Clinicians will hence find it in good stride to correlate these complaints with the effects of lockdown.
Keywords: COVID, Diabetes, Hyperglycaemia, Lifestyle, Lockdown, SARS-CoV-2, Public Health.
References
- Google Documents Form: Effect of Lockdown and Movement Restriction on Glycaemic Status among Diabetics Study https://forms.gle/6xUDsy7N3WkLJU5bA
- WHO|Country and regional data on diabetes https://www.who.int/diabetes/facts/world_figures/en/index5.html
- The DECODA (Diabetes Epidemiology: Collaborative Analysis of Diagnostic Criteria in Asia) Study Group Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland. Age- and Sex-Specific Prevalence of Diabetes and Impaired Glucose Regulation in 11 Asian Cohorts, Diabetes Care 2003 Jun; 26(6): 1770-1780, https://doi.org/10.2337/diacare.26.6.1770
- How India commutes to work http://www.indiaenvironmentportal.org.in/media/iep/infographics/transport/index.html
- CIA| The World Fact book, South Asia, India https://www.cia.gov/library/publications/the-world-factbook/geos/in.html
- India is home to 77 million diabetics, second highest in the world https://www.thehindu.com/sci-tech/health/india-has-second-largest-number-of-people-with-diabetes/article29975027.ece
- Census of India, Economic Activity https://censusindia.gov.in/census_And_You/economic_activity.aspx
- Ranjit Mohan Anjana, Mohan Deepa, Rajendra Pradeepa, Jagadish Mahanta
- Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR–INDIAB population-based cross-sectional study| Lancet Diabetes Endocrinol, 10.1016/S2213-8587(17)30174 https://doi.org/10.1016/S2213-8587(17)30174-2