LIFE WITH DIABETES IN THE COVID-19 ERA
Sažetak
Pandemija COVID-19 promenila je živote milijardi ljudi, posebno onih s hroničnim bolestima poput dijabetesa. Cilj ovog istraživanja bio je procena uticaja pandemije na fizičko i mentalno zdravlje dijabetičara koji žive na Balkanu. Ispitivanje je vršeno anketiranjem putem interneta, u aprilu 2023. godine. U ispitivanju je učestvovalo 129 osoba. Njih 76 imalo je dijagostikovan tip 1, a 53 tip 2 dijabetes. 6,97% svih ispitanika imalo je bliskog člana porodice koji je preminuo od posledica infekcije SARS-CoV-2, a čak 77,78% tih smrtnih slučajeva imalo je dijabetes i/ili kardiovaskularne bolesti. Većina ispitanika takođe je bila zaražena SARS-CoV-2 virusom. Većini ispitanika je dijabetes dijagnostikovan pre infekcije, a dijabetes uzrokovan SARS-CoV-2 uglavnom je bio tipa 2. Iako su redovno uzimali propisanu farmakoterapiju i dodatke prehrani, polovina ispitanika je imala povišen nivo šećera u krvi, dok je nivo D-dimera bio povišen uglavnom kod dijabetičara tipa 2. Takođe, hospitalizacija u akutnoj fazi bila je češća kod dijabetičara tipa 2. Većina dijabetičara patila je od poremećaja spavanja (p < 0,01), a dijabetičari tipa 2 takođe su patili i od noćnih mora (p < 0,05). Shodno tome, upotreba anksiolitika i antidepresiva bila je češća kod ljudi sa tipom 2 dijabetesa. Oporavak je bio znatno brži kod dijabetičara tipa 1, zbog manjeg broja propratnih bolesti poput hipertenzije, kardiovaskularnih bolesti i bolesti jetre, koje su bile češće kod pacijenata sa tip 2 dijabetesom.
Reference
Dai, J., Sang, X., Menhas, R., Xu, X., Khurshid, S., Mahmood, S., ... & Alam, M. N. (2021). The influence of covid-19 pandemic on physical health–psychological health, physical activity, and overall well-being: the mediating role of emotional regulation. Frontiers in Psychology, 12, 667461.
Huang, Y. C., Zuniga, J. A., & Garcia, A. A. (2019). Association between sleep and serious psychological distress in patients with diabetes. Psychology, Health & Medicine, 24(8), 925-935.
Iacobellis, G. (2020). COVID-19 and diabetes: can DPP4 inhibition play a role?. Diabetes research and clinical practice, 162.
International Diabetes Federation. IDF Diabetes Atlas, 10th edn. Brussels, Belgium: International Diabetes Federation, 2021
Jaeckel, E., Manns, M., & Von Herrath, M. (2002). Viruses and diabetes. Annals of the New York Academy of Sciences, 958(1), 7-25.
Joshi, S. C., & Pozzilli, P. (2022). COVID-19 induced Diabetes: A novel presentation. Diabetes Research and Clinical Practice, 110034.
Joshi, S. C., & Pozzilli, P. (2022). COVID-19 induced Diabetes: A novel presentation. Diabetes Research and Clinical Practice, 110034.
Lima-Martínez, M. M., Boada, C. C., Madera-Silva, M. D., Marín, W., & Contreras, M. (2021). COVID-19 and diabetes: A bidirectional relationship. Clínica e Investigación En Arteriosclerosis (English Edition), 33(3), 151-157.
Liu, F., Long, X., Zhang, B., Zhang, W., Chen, X., & Zhang, Z. (2020). ACE2 expression in pancreas may cause pancreatic damage after SARS-CoV-2 infection. Clinical Gastroenterology and Hepatology, 18(9), 2128-2130.
Panten, U., Schwanstecher, M., & Schwanstecher, C. (1996). Sulfonylurea receptors and mechanism of sulfonylurea action. Experimental and clinical endocrinology & diabetes, 104(01), 1-9.
Vorgučin, I., Savin, M., Stanković, Đ., Miljković, D., Ilić, T., Simić, D., ... & Antić, J. (2022). Incidence of Type 1 Diabetes mellitus and characteristics of diabetic ketoacidosis in children and adolescents during the first two years of the COVID-19 pandemic in Vojvodina. Medicina, 58(8), 1013.
Vosko, I., Zirlik, A., & Bugger, H. (2023). Impact of COVID-19 on Cardiovascular Disease. Viruses, 15(2), 508.
Vujčić, I., Safiye, T., Milikić, B., Popović, E., Dubljanin, D., Dubljanin, E., ... & Čabarkapa, M. (2021). Coronavirus disease 2019 (COVID-19) epidemic and mental health status in the general adult population of Serbia: A cross-sectional study. International journal of environmental research and public health, 18(4), 1957.
Vujčić, I., Safiye, T., Milikić, B., Popović, E., Dubljanin, D., Dubljanin, E., ... & Čabarkapa, M. (2021). Coronavirus disease 2019 (COVID-19) epidemic and mental health status in the general adult population of Serbia: A cross-sectional study. International journal of environmental research and public health, 18(4), 1957.
WHO COVID-19 Dashboard. Geneva: World Health Organization, 2023. Available online: https://covid19.who.int/ [08.08.2023]
Yang, X., Yu, Y., Xu, J., Shu, H., Liu, H., Wu, Y., ... & Shang, Y. (2020). Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The lancet respiratory medicine, 8(5), 475-481.
Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., ... & Cao, B. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The lancet, 395(10229), 1054-1062.