Worsening of metabolic control in children and adolescents with type 1 diabetes mellitus after one year of the COVID-19 pandemic
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2025.216919Keywords:
Diabetes mellitus, Glycemic controlAbstract
Objective: The aim of the present study was to assess metabolic control and food insecurity (FI) in children and adolescents with type 1 diabetes mullites (DM1) during the COVID-19 pandemic. Methods: A cohort study was conducted between December 2019 and March 2021 with 118 patients. Metabolic control was assessed by estimated average glucose, glycated hemoglobin (HbA1C), total cholesterol (TC), HDL-c, LDL-c, and triglycerides. The Brazilian Food Insecurity Scale was used to estimate FI while considering demographic, socioeconomic, anthropometric, and dietary variables. Results: Adolescents accounted for 81.4% of the sample, and 61.0% had ≥ three years since the diagnosis. The majority (68.6%) had a family income per capita ˂ the minimum monthly wage, and 70.3% received some type of benefit during the pandemic. In regard to food, 57.6% reported changes in their eating routine, the main causes of which were social isolation (38.2%) and financial difficulties (35.3%). Increases were found in mean HbA1C and estimated average glucose, and 85.6% of the patients had FI. Participants with moderate to severe FI had higher HbA1c, estimated average glucose, and TC values. Conclusion: In conclusion, the frequency of FI was high and worsening of metabolic control occurred within one year of the pandemic.
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Copyright (c) 2025 Lidiana de Souza Holanda, Jacqueline Rosangela de Araújo, Maria da Conceição Chaves de Lemos, Alcides da Silva Diniz, Maria Lucia Diniz Araujo, Gisele Almeida de Noronha, Palena Cabral da Silva, Poliana Coelho Cabral
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