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Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity.

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  • Additional Information
    • Source:
      Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 100889084 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-8593 (Electronic) Linking ISSN: 15209156 NLM ISO Abbreviation: Diabetes Technol. Ther. Subsets: MEDLINE
    • Publication Information:
      Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1999-
    • Subject Terms:
    • Abstract:
      Background: To limit the spread of coronavirus disease 2019 (COVID-19), governments have ordered a series of restrictions that may affect glycemic control in individuals with type 1 diabetes mellitus (T1DM), since physical activity (PA) was not allowed outside home. Methods: We retrospectively evaluated glycemic control of individuals with T1DM using hybrid closed loop (HCL) system in the period before the SARS-CoV-2 outbreak in Italy (February 10-23, 2020-Time 1), when movements were only reduced (February 24-March 8, 2020-Time 2) and during complete lockdown (March 9-22, 2020-Time 3). Information about regular PA (at least 3 h per week) prior and during the quarantine was collected. Results: The study included 13 individuals with a median age of 14.2 years and a good glycemic control at baseline (glucose management indicator of 7%, time in range [TIR] of 68%, time below range [TBR] of 2%). All individuals continued to show good glycemic control throughout the study period. There was an increase in TIR during the study period (+3%) and TIR was significantly higher during Time 3 (72%) than during Time 2 (66%). TBR was significantly lower during Time 3 (1%) both compared with Time 1 and Time 2 (2%). A meaningful variance in TIR at Time 3 between individuals who performed or not PA during quarantine and a significant increase in TIR between Time 2 and Time 3 in individuals both doing PA at baseline and during quarantine was found. At logistic regression, only the presence of PA during quarantine significantly predicted a TIR >70%. Conclusions: Glycemic control of T1DM in adolescents using HCL system did not worsen during the restrictions due to COVID-19 pandemics and further improved in those who continued PA during the quarantine. Maintaining regular PA in a safe home environment is an essential strategy for young individuals with T1DM during the COVID-19 crisis.
    • Contributed Indexing:
      Keywords: COVID-19; Glycemic control; Hybrid closed loop; Physical activity; Time in range
    • Accession Number:
      0 (Blood Glucose)
    • Subject Terms:
      COVID-19
    • Subject Terms:
      severe acute respiratory syndrome coronavirus 2
    • Publication Date:
      Date Created: 20200519 Date Completed: 20200612 Latest Revision: 20200612
    • Publication Date:
      20201023
    • Accession Number:
      10.1089/dia.2020.0169
    • Accession Number:
      32421355
  • Citations
    • ABNT:
      TORNESE, G. et al. Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity. Diabetes technology & therapeutics, [s. l.], v. 22, n. 6, p. 462–467, 2020. DOI 10.1089/dia.2020.0169. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=32421355. Acesso em: 29 nov. 2020.
    • AMA:
      Tornese G, Ceconi V, Monasta L, Carletti C, Faleschini E, Barbi E. Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity. Diabetes technology & therapeutics. 2020;22(6):462-467. doi:10.1089/dia.2020.0169
    • APA:
      Tornese, G., Ceconi, V., Monasta, L., Carletti, C., Faleschini, E., & Barbi, E. (2020). Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity. Diabetes Technology & Therapeutics, 22(6), 462–467. https://doi.org/10.1089/dia.2020.0169
    • Chicago/Turabian: Author-Date:
      Tornese, Gianluca, Viola Ceconi, Lorenzo Monasta, Claudia Carletti, Elena Faleschini, and Egidio Barbi. 2020. “Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity.” Diabetes Technology & Therapeutics 22 (6): 462–67. doi:10.1089/dia.2020.0169.
    • Harvard:
      Tornese, G. et al. (2020) ‘Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity’, Diabetes technology & therapeutics, 22(6), pp. 462–467. doi: 10.1089/dia.2020.0169.
    • Harvard: Australian:
      Tornese, G, Ceconi, V, Monasta, L, Carletti, C, Faleschini, E & Barbi, E 2020, ‘Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity’, Diabetes technology & therapeutics, vol. 22, no. 6, pp. 462–467, viewed 29 November 2020, .
    • MLA:
      Tornese, Gianluca, et al. “Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity.” Diabetes Technology & Therapeutics, vol. 22, no. 6, June 2020, pp. 462–467. EBSCOhost, doi:10.1089/dia.2020.0169.
    • Chicago/Turabian: Humanities:
      Tornese, Gianluca, Viola Ceconi, Lorenzo Monasta, Claudia Carletti, Elena Faleschini, and Egidio Barbi. “Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity.” Diabetes Technology & Therapeutics 22, no. 6 (June 2020): 462–67. doi:10.1089/dia.2020.0169.
    • Vancouver/ICMJE:
      Tornese G, Ceconi V, Monasta L, Carletti C, Faleschini E, Barbi E. Glycemic Control in Type 1 Diabetes Mellitus During COVID-19 Quarantine and the Role of In-Home Physical Activity. Diabetes technology & therapeutics [Internet]. 2020 Jun [cited 2020 Nov 29];22(6):462–7. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=32421355