ESPE Abstracts (2022) 95 P1-243

ESPE2022 Poster Category 1 Diabetes and Insulin (86 abstracts)

Did Covid-19 pandemic restrictions impact on diabetic care of children and adolescents in Armenia?

Irina Muradyan 1 , Yelena Aghajanova 1 , Tamara Janvelyan 2 , Renata Markosyan 1 , Gayane Bayburdyan 1 , Lusine Kalantaryan 1 , Lusine Arakelyan 1 & Lusine Navasardyan 1,3

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1Yerevan State Medical University, "Muratsan" University Hospital Complex, Yerevan, Armenia; 2"Defeat Diabetes Together Foundation" NGO, Yerevan, Armenia; 3“Arabkir” Medical Center, Yerevan, Armenia


Background: Type 1 diabetes mellitus (T1DM) is an autoimmune disorder, which occurs mostly among children and adolescents. Armenia is a middle-low income country, where pediatric diabetic care is given centralized in three main centers. The 85-90% of diabetic children and adolescents are followed in the university hospital. During Covid-19 pandemic Armenia was under either lockdown or strict restrictions. The purpose of the current study is to assess the dynamics of mean glycosylated hemoglobin (HbA1c) levels in T1DM children and adolescents before, during and after the Covid-19 restriction period.

Materials and Methods: HbA1c levels; sex and age of 250 randomly chosen T1DM patients were evaluated from 2018 until 2021 years. The patients were divided into 4 age groups: I (0-4years); II (5-8years); III (9-13years) and IV (14-18years). All the patients were on multiple daily injections (MDI) regimen. Statistical analyses were performed with SPSS Version 21.0 to determine the significance of findings. In all cases null hypothesis was rejected if P<0.05.

Results: A total of 250 patients of were included in the study; about 48.8% were females. It is shown in the Table 1, that there is a connection between age and HbA1c levels, HbA1c is higher in older patients without statistical significance (P>0.05). Mean HbA1c is higher in female comparing with male not significantly (P>0.05). Based on the results, there is an increase in HbA1c mean level during 2020, when the pandemic restrictions in the country were lounged (P<0.05), particularly the tremendous increase was observed in the age groups II-IV.

Table 1. Dynamics of mean HbA1C (%) in different age groups of type 1 diabetic children and adolescents in Armenia during 2018-2021 years.
Years Age groups
2018 I (0-4years) II (5-8years) III (9-13years) IV (14-18years)
Male 6,40 7,58 8,24 6,10
Female 7,07 7,85 8,29 8,15
Average 6,65 7,71 8,27 8,04
2019        
Male 6,87 7,12 7,86 8,16
Female 7,32 7,65 7,76 8,63
Average 7,03 7,35 7,80 8,33
2020        
Male 7,46 8,23 8,99 8,57
Female 7,34 8,45 7,96 9,16
Average 7,41 8,32 8,46 8,80
2021        
Male 7,35 7,36 7,63 7,99
Female 8,54 7,67 7,93 8,27
Average 7,68 7,49 7,79 8,13

Conclusion: T1DM children and adolescents had higher mean HbA1c levels in 2020, when Covid-19 pandemic restrictions were implemented. Tele-medicine improvement and implementation in Armenia could be an option to improve the follow-up of T1DM children in lockdown or restriction periods leading to normalization of HbA1c levels as a goal.

Volume 95

60th Annual ESPE (ESPE 2022)

Rome, Italy
15 Sep 2022 - 17 Sep 2022

European Society for Paediatric Endocrinology 

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