Evidence map›Paper›PMID 33059981›Full record

ArticleJournal of diabetes and its complications2020

The early impact of the COVID-19 pandemic on adults with type 1 or type 2 diabetes: A national cohort study.

Lawrence Fisher, William Polonsky, Adijat Asuni, Yasmin Jolly, Danielle Hessler

Open access · greenAbstract read
In one paragraph

Article in Journal of diabetes and its complications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 3 pooled it
13.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 3 syntheses or guidelines pooled it, 130 citations in OpenAlex.

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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Lawrence FisherDepartment of Family & Community Medicine, University of California, San Francisco, United States of America. Electronic address: larry.fisher@ucsf.edu.
William PolonskyUniversity of California, San Diego, Behavioral Diabetes Institute, San Diego, CA, United States of America.
Adijat AsuniDepartment of Family & Community Medicine, University of California, San Francisco, United States of America.
Yasmin JollyDepartment of Family & Community Medicine, University of California, San Francisco, United States of America.
Danielle HesslerDepartment of Family & Community Medicine, University of California, San Francisco, United States of America.
University of California, San Francisco · USUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo describe the effects of the COVID-19 pandemic on adults with T1D or T2D in the U.S.

methodsParticipants, recruited from the Taking Control of Your Diabetes Research Registry, were ≥19 years old and diagnosed with either T1D or T2D for ≥12 months. Participants completed an online survey on a HIPAA-protected platform.

resultsCompleted surveys were received from 763 T1Ds and 619 T2Ds. Average T1D age was 53.3 (SD = 15.3); average T2D age was 64.9 (SD = 10.3). Both samples were predominantly female, non-Hispanic white and well-educated. Average self-reported HbA1c was 6.9 (SD = 1.0; 52 mmol/mol) for T1Ds and 7.1 (SD = 1.1; 54 mmol/mol) for T2Ds. About 40% of respondents reported that all of their diabetes healthcare appointments at the time were cancelled or postponed, 40% reported a switch to telehealth appointments and almost half reported lower overall satisfaction with these visits (compared to pre-pandemic). There were widespread increases in general and diabetes-related stress and social isolation, and negative effects on disease management. About 25% reported increases in highs, lows, and glucose variability in both groups.

conclusionThere has been a substantive increase in level of diabetes-related and general life stress and social isolation due to the pandemic, with a significant impact on disease management.

Indexed as

SARS-CoV-2AdultAgedCohort StudiesCOVID-19Delivery of Health CareDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleGlycated HemoglobinHealth Services AccessibilityHumansMaleMiddle AgedSocial IsolationStress, PsychologicalGlycated HemoglobinHbA(1c) protein, mouseCOVID-19 pandemicDisease managementStressTelemedicineType 1 and type 2 diabetes

Identifiers

PMID33059981
PMCPMC7539933
OpenAlexW3091815402

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.