Dahiliye Polikliniğine Başvuran Tip 2 Diyabetli Hastalarda Covid-19 Pandemi Sürecinin Hba1c Üzerine Etkisi

Öz

Tip 2 Diyabetes Mellitus'un (DM) insidansı ve yaygınlığı dünya çapında artmaktadır. Pandemi sırasında kısıtlamalar, artan stres ve artan hareketsiz yaşam nedeniyle diyabet kontrolünde bozulma beklenmektedir. Bu çalışmanın amacı COVID-19’un HbA1c değerleri üzerine etkisini ve diyabet kontrolünü nasıl etkilediğini belirlemektir. Çalışmamızda 5 ayrı dönemde (Mart 2018-Şubat 2019, Mart 2019-Şubat 2020, Mart 2020-Şubat 2021, Mart 2021-Şubat 2022, Mart 2022-Şubat 2023) toplam 6217 diyabetik hasta retrospektif olarak incelendi. HbA1c değerine göre; HbA1c değeri %7’nin altında olanlar iyi kontrol, %7-9 arasında olanlar kötü kontrol, %9'dan fazla olanlar ise çok kötü kontrol altında olarak sınıflandırıldı. Ayrıca LDL, HDL, kolesterol ve açlık kan şekeri değerleri kaydedildi. Gruplar arasında HbA1c ölçümleri açısından anlamlı fark bulundu (p<0.001). En düşük HbA1c değeri Mart 2018-Şubat 2019 tarihleri arasındaki ölçümde %7,61 olarak bulunurken, en yüksek değer Mart 2020-Şubat 2021 tarihleri arasındaki ölçümde %8,39 olarak bulundu. HbA1c çok zayıf kontrol oranı Mart 2020 ve Şubat 2021'de (%30,9) en yüksek, iyi kontrol oranı ise Mart 2018 ve Şubat 2019'da (%51,3) en yüksek idi. Çalışmamızda pandemi döneminde HbA1c değerleri ve kötü kontrol edilen hasta oranlarının daha yüksek olduğu bulunmuştur. Bu sonuç göz önüne alındığında pandemi sürecinin Tip 2 diyabetli hastalarda hastalık kontrolünde bozulmaya neden olduğu söylenebilir.

Anahtar Kelimeler

• Diyabetes Mellitus
• HbA1c
• COVİD-19
• Pandemi

The Effect of the Covid-19 Pandemic Process on Hba1c In Type 2 Diabetes Patients Applying to the Internal Medicine Outpatient Clinic

Öz

The incidence and prevalence of Type 2 Diabetes Mellitus (DM) are increasing worldwide. Due to the restrictions, increased stress, and increased sedentary life during the pandemic, deterioration in diabetes control is expected. The aim of this study is to determine the effect of COVID-19 on HbA1c values and how it affects diabetes control. In our study, a total of 6217 diabetic patients were examined retrospectively in 5 separate periods (March 2018-February 2019, March 2019-February 2020, March 2020-February 2021, March 2021-February 2022, March 2022-February 2023). According to the HbA1c value; those with HbA1c values were classified as well-controlled, those between 7-9% as poorly controlled, and those >9% as very poorly controlled. In addition, LDL, HDL, cholesterol and fasting blood sugar values were recorded. There are significant differences between the groups in terms of HbA1c measurements (p<0.001). The lowest HbA1c value was found to be 7.61% in the measurement between March 2018 and February 2019, and the highest value was found to be 8.39% in the measurement between March 2020 and February 2021. The HbA1c very poor control rate was the highest in March 2020 and February 2021 (30.9%), and the good control rate was the highest in March 2018 and February 2019 (51.3%). In our study, HbA1c values and poorly controlled patient rates were found to be higher during the pandemic period. Considering this result, it can be said that the pandemic process caused deterioration in disease control in Type 2 diabetes patients.

Anahtar Kelimeler

• Diabetes Mellitus
• HbA1c
• COVİD-19
• Pandemic

Kaynakça

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