Managing Type 1 Diabetes among Saudi adults on insulin pump therapy during the COVID-19 lockdown

The coronavirus disease 2019 (COVID-19) pandemic has affected people’s lives including patients with type 1 diabetes mellitus (T1DM). We aimed to investigate the impact of the COVID-19 lockdown on psychological status, self-management behaviors, and diabetes care maintenance among Saudi adults with...

Full description

Saved in:
Bibliographic Details
Published in:Diabetes & metabolic syndrome clinical research & reviews 2021-01, Vol.15 (1), p.63-68
Main Authors: Magliah, Sultan F., Zarif, Hawazen A., Althubaiti, Alaa, Sabban, Mahmoud F.
Format: Article
Language:English
Subjects:
Adult
COVID-19
COVID-19 - epidemiology
COVID-19 - prevention & control
Cross-Sectional Studies
Diabetes Mellitus, Type 1 - drug therapy
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - psychology
Female
Humans
Insulin Infusion Systems - psychology
Insulin pump
Male
Pandemics
Psychological stress
Quarantine
Quarantine - methods
Quarantine - psychology
Saudi Arabia - epidemiology
Self-Management - methods
Self-Management - psychology
Telemedicine - methods
Type 1 diabetes
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The coronavirus disease 2019 (COVID-19) pandemic has affected people’s lives including patients with type 1 diabetes mellitus (T1DM). We aimed to investigate the impact of the COVID-19 lockdown on psychological status, self-management behaviors, and diabetes care maintenance among Saudi adults with T1DM using insulin pump therapy. This cross-sectional study used a web survey to collect data on Saudi adults with T1DM who were treated in the specialized insulin pump clinic at King Abdulaziz Medical City-Jeddah, Saudi Arabia. We used the Patient Health Questionnaire-9 and General Anxiety Disorder-7 scales to measure depression and anxiety. Of the 70 patients who received the survey, 65 completed it. Overall, 23.1% and 29.2% of the patients reported moderate to severe and mild depression, respectively; 18.5% and 24.6% reported moderate to severe and mild anxiety, respectively. Compared with pre-lockdown, adherence to a healthy diet and regular physical activity decreased in 67.7% and 41.5% of the patients, respectively. Most patients maintained their adherence to insulin pump behaviors; frequent self-monitoring of blood glucose increased in 47% of glucometer users. Most patients benefited from phone visits or virtual education sessions, but 66.2% of the patients reported difficulty obtaining at least one type of insulin pump supply. Promoting self-management behaviors and psychological wellbeing of patients with T1DM using insulin pump therapy is crucial during a lockdown. Telemedicine is a useful alternative to in-person appointments, but strategies to ensure that patients have access to adequate resources during lockdown must be developed. •During the lockdown, Saudi adults with type 1 diabetes on insulin pump showed varying levels of depression and anxiety.•In contrast to diet and exercise, adherence to insulin pump behaviours were not adversely affected in most patients.•Diabetes care delivered virtually was helpful during the lockdown.•66% of the patients reported difficulty obtaining at least one type of insulin pump supply during the lockdown.
ISSN:1871-4021
1878-0334
DOI:10.1016/j.dsx.2020.12.013