Novina Novina1, Annang Giri Moelyo2, Erni Nuraeni1, Maria Lisa Mihardja3, Yanuar Ariefudin4, Faisal Faisal1, Aman B Pulungan5.
1Endocrinology Division, Department of Child Health, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, West Java Indonesia,
2Endocrinology Division, Department of Child Health, Faculty of Medicine, Universitas Sebelas Maret, Dr. Moewardi General Hospital, Solo, Central Java Indonesia,
3Pediatric Resident Department of Child Health, Faculty of Medicine Universitas Padjadjaran, Bandung, West Java Indonesia,
4Pediatric Resident Department of Child Health, Faculty of Medicine, Universitas Sebelas Maret, Solo, Central Java Indonesia,
5Department of Child Health, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
|
Abstract
Objective: The aim of this study is to describe the impact of the COVID-19 pandemic on Glycemic Control (GC) in children with Type 1 Diabetes Mellitus (T1DM) and the role of online consultation.
Methods: We conducted a cross-sectional analytical study of children with T1DM who were controlled at Pediatric Endocrinology Clinic Hasan Sadikin General Hospital (RSHS) and Dr. Moewardi General Hospital (RSDM) before and during the COVID-19 pandemic. We compare average HbA1c levels before and during the COVID-19 era for the GC parameter.
Results: A total of 55 children with T1DM were recruited in this study: 29 boys [52.7%] and 26 girls [47.3%]; the majority are adolescents [74.5%], mean age: 13.47 ± 3.1 years, the median duration of suffering from diabetes: 33 months. We did a paired t-test on 50 children with the result that average HbA1c significantly decrease from 10.3± 2.3% to 9,4±2.0 % before and during the pandemic era (p<0.001). There was a significant increase in BMI (0.75, p=0.001) but do not significantly correlate with HbA1c values before and during the pandemic.
Conclusion: There has been a significant decrease in HbA1c during the COVID-19 pandemic. Implementation of work-from-home and semi-lockdown policy encourages parents to monitor the GC of their children better. Pediatric endocrinologists and residents in RSHS and RSDM assisted patients and their parents in achieving better GC during the COVID-19 pandemic through proper consultation, education and medical escort for outpatient clinics and online consultations using a social media group specially designated for T1DM families.
|