Evidence map›Paper›PMID 34980759›Full record

ArticleInternal medicine (Tokyo, Japan)2022

Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan.

Keisuke Endo, Takayuki Miki, Takahito Itoh, Hirofumi Kubo, Ryosuke Ito, Kouhei Ohno, Hiroyuki Hotta, Nobuo Kato, Tomoaki Matsumoto, Aya Kitamura and 5 more

Abstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2022. 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
–field-weighted citation impact
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.

  1. Trial
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  9. COVID-19 pandemic and hypertension: an updated report from the Japanese Society of Hypertension project team on COVID-19.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Observational
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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

15 authors.

Keisuke EndoDepartment of Cardiology and Diabetes, Oji General Hospital, Japan.
Takayuki MikiDepartment of Cardiology and Diabetes, Oji General Hospital, Japan.
Takahito ItohDepartment of Cardiology and Diabetes, Oji General Hospital, Japan.
Hirofumi KuboMedical Record Administration Center, Oji General Hospital, Japan.
Ryosuke ItoDepartment of Cardiology and Diabetes, Oji General Hospital, Japan.
Kouhei OhnoDepartment of Cardiology and Diabetes, Oji General Hospital, Japan.
Hiroyuki HottaDepartment of Cardiology and Diabetes, Oji General Hospital, Japan.
Nobuo KatoDepartment of Cardiology and Diabetes, Oji General Hospital, Japan.
Tomoaki MatsumotoDepartment of Cardiology and Diabetes, Oji General Hospital, Japan.
Aya KitamuraInternal Medicine Outpatient Clinic, Oji General Hospital, Japan.
Mai TamayamaInternal Medicine Outpatient Clinic, Oji General Hospital, Japan.
Takako WatayaInternal Medicine Outpatient Clinic, Oji General Hospital, Japan.
Ayaka YamayaInternal Medicine Outpatient Clinic, Oji General Hospital, Japan.
Rei IshikawaMedical Record Administration Center, Oji General Hospital, Japan.
Hitoshi OoiwaDepartment of Cardiology and Diabetes, Oji General Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective In this study, we investigated whether and how the COVID-19 pandemic affected glycemic control and blood pressure (BP) control in patients with diabetes mellitus (DM). Methods DM patients whose HbA1c level was measured regularly before and after the declaration of a state of emergency were included in this study. Some patients were given questionnaires about changes in their lifestyle to determine the factors affecting glycemic control and BP control. Results The median HbA1c level of the 804 patients increased significantly from 6.8% before the state of emergency to 7.1% and 7.0% during and after the state of emergency, respectively. This was in contrast to the decrease one year earlier due to seasonal variations. In the 176 patients who responded to the questionnaire, the HbA1c level also increased significantly during and after the state of emergency. The worsening of glycemic control was more pronounced in the group that had achieved HbA1c of <7% before the state of emergency than in those with higher values. Unlike the rise in HbA1c, the BP did not rise during the state of emergency but did rise significantly afterwards. There was no marked decrease in HbA1c or BP after the state of emergency, even in patients who responded that they were much more careful with their diet, ate less, or exercised more. Conclusions The COVID-19 pandemic worsened glycemic control and BP control, even in patients who perceived no marked change in their diet or exercise, suggesting that more active lifestyle guidance is necessary for good treatment of DM patients.

Indexed as

COVID-19Diabetes MellitusDiabetes Mellitus, Type 2Blood GlucoseBlood PressureGlycated HemoglobinGlycemic ControlHumansJapanPandemicsSARS-CoV-2Blood GlucoseGlycated Hemoglobinblood pressureCOVID-19 pandemicdiabetes mellitusglycemic control

Identifiers

PMID34980759
PMCPMC8810256

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Registered trials

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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.