Evidence map›Paper›PMID 34715917›Full record

ArticleDiabetology & metabolic syndrome2021

Self-isolation negatively impacts self-management of diabetes during the coronavirus (COVID-19) pandemic.

Shahina Pardhan, Md Saiful Islam, Guillermo F López-Sánchez, Tirthalal Upadhyaya, Raju P Sapkota

Open access · goldAbstract read
In one paragraph

Article in Diabetology & metabolic syndrome, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.4field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

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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 3 institutions in 2 countries.

Shahina PardhanVision and Eye Research Institute, School of Medicine, Anglia Ruskin University, East Road, Cambridge, CB1 1PT, UK. shahina.pardhan@anglia.ac.uk.ORCID http://orcid.org/0000-0003-2377-8387
Md Saiful IslamDepartment of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka-1342, Bangladesh.
Guillermo F López-SánchezVision and Eye Research Institute, School of Medicine, Anglia Ruskin University, East Road, Cambridge, CB1 1PT, UK.
Tirthalal UpadhyayaDepartment of Medicine, Gandaki Medical College and Teaching Hospital, Pokhara, Nepal.
Raju P SapkotaVision and Eye Research Institute, School of Medicine, Anglia Ruskin University, East Road, Cambridge, CB1 1PT, UK.
Anglia Ruskin University · GBJahangirnagar University · BDJanaki Medical College

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimPeople with diabetes are at a greater risk of serious complications from Coronavirus disease (COVID-19). Self-management of diabetes is therefore of paramount importance. The purpose of this study is to compare self-management of diabetes pre-COVID-19 and during the COVID-19 pandemic.

methods679 participants with diabetes completed an online structured questionnaire survey. Various exposure variables (demographics, duration, treatment and complications of diabetes, self-isolation, etc.) were analysed to examine associations with the following outcome variables: (i) fluctuation of blood glucose levels, (ii) access to diabetes medicine, (iii) access to healthy diet, (iv) physical activity. Adjusted multiple regression analysis ascertained significant associations for each outcome variable against exposure variables.

resultsMultiple regression analysis showed that self-isolation was significantly associated with greater fluctuation in blood glucose levels (OR = 1.8, 95% CI = 1.2-2.6, p = 0.005), reduced access to diabetes medicine (OR = 1.9, 95% CI = 1.1-3.1, p = 0.02) and reduced access to healthy diet (OR = 3.0, 95% CI = 2.0-4.6, p < 0.001). Fluctuation in blood glucose level was also significantly associated with having at least one complication of diabetes (OR = 2.2, 95% CI = 1.2-3.9, p = 0.008) and reduced access to diabetes medicine was significantly higher in people who were on insulin (OR = 2.1, 95% CI = 1.3-3.3, p = 0.001).

conclusionsSelf-isolation was shown to impact almost all factors that influence self-management of diabetes. A targeted approach to improved access to diabetes medicine, healthy diet for people who needed to self-isolate is vital in order to ensure that they are able to self-manage their diabetes effectively.

Indexed as

Blood glucoseCOVID-19DiabetesMandatory self-isolationSelf-management

Identifiers

PMID34715917
PMCPMC8555859
OpenAlexW3195479523

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.