Effect in self-care behavior and difficulties in coping with diabetes during the COVID-19 pandemic

In this study, difficulties in coping with diabetes were evaluated during the coronavirus disease 2019 (COVID-19) lock-down Similarly, the change in diabetes self-care activities was evaluated in patients with a recent assessment before COVID-19 lockdown in Mexico City In 212 patients with type 2 diabetes (T2D) and regular primary care, a designed questionnaire was used to evaluate the presence/absence of difficulties in self-care related to diet, physical activity/exercise, glucose monitoring, treatment adherence, getting pharmacological treatment, and confinement adherence The Summary of Diabetes Self-Care Activities tool was used to compare the frequency of self-care behaviors in the past 7 days Self-reported difficulties in coping with T2D were documented and included difficulties in self-care behaviors related to diet (41 6%), physical activity/exercise (40 5%), glucose monitoring (23 7%), getting pharmacological treatment (22 9%), pharmacological treatment adherence (19%), and home-confinement adherence (11 7%) In the group of patients with a recent previous-lockdown evaluation, global self-care behavior decreased from 5 15±0 9 to 4 49 ± 1 02 days/week, p 0 001 Diabetes self-care was a predictor for the presence of difficulties in coping with diabetes Patients with T2D reported difficulties in coping with T2D and decreased diabetes self-care activities during the COVID-19 lockdown in Mexico City Health-care policies must be designed and implemented to attenuate diabetes disease burden caused by this ongoing and future health-contingencies En el presente estudio se evaluaron las dificultades para hacer frente a la diabetes por los pacientes durante el confinamiento por COVID-19 Asi mismo, se evaluo el cambio en las actividades de autocuidado de diabetes en pacientes con evaluacion reciente antes del confinamiento por COVID-19 en la Ciudad de Mexico En 212 pacientes con diabetes tipo 2 (DT2), se utilizo un cuestionario disenado para evaluar la presencia/ausencia de dificultades para el autocuidado La herramienta Summary of Diabetes Self-Care Activities (SDCA) se utilizo para comparar las actividades de autocuidado, reportado en dias a la semana Las dificultades reportadas por los pacientes incluyeron las relacionadas con: alimentacion (41 6%), actividad fisica/ejercicio (40 5%), monitoreo de glucosa (23 7%), acceso al tratamiento farmacologico (22 9%), adherencia al tratamiento farmacologico (19%) y adherencia al confinamiento (11 7%) En el grupo de pacientes con una evaluacion reciente previa al confinamiento, la actividad global de autocuidado disminuyo de 5,15±0,9 a 4,49±1,02 dias/semana, valorp 0,001 El autocuidado en diabetes fue predictor de la presencia de dificultades para hacer frente a la diabetes Los pacientes informaron dificultades para afrontar la diabetes y disminuyeron las actividades de auto-cuidado durante el confinamiento por COVID-19 Politicas de atencion medica deben disenarse e implementarse para atenuar la carga de la enfermedad causado por esta y futuras contingencias en salud