A Study of the Changes of the Hemoglobin A1C Level of Diabetes Patients in Bangchak Hospital during the Coronavirus Disease (COVID - 19) Pandemic

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Tharawut Mekthara

Abstract

BACKGROUND: The Coronavirus disease (COVID - 19) pandemic has affected the daily life of diabetes patients, but it is unsure how the pandemic has affected the control of patients’ hemoglobin A1C (HbA1c) level.


OBJECTIVES: To study the changes of the HbA1c level of diabetes patients in Bangchak Hospital during the COVID - 19 pandemic.


METHODS: This study was a cross - sectional analytic design. The population for the study consisted of 322 persons who were diabetes patients and had their blood tested for the HbA1c level at Bangchak Hospital, Samut Prakan Province, Thailand from May 1, to June 30, 2020. The blood test results would be compared with the previous HbA1c level that had been recorded in less than one year.


RESULTS: Regarding the 322 diabetes patients, 59.9% were female, and the age mean was 63.3 years old (SD = 11.8). Two hundred patients received a decreased/unchanged HbA1C level result (62.1%), whereas 122 patients received an increased HbA1C level result (37.9%). The patient group in which the HbA1C level had increased displayed a significantly higher eGFR (85.3 ± 20.7, 79.7 ± 23.4, p = 0.03) and lower HDL level (46.2 ± 10.7, 50.3 ± 17.0, p = 0.03) than the patient group in which the HbA1C level had decreased/was unchanged.


CONCLUSIONS: The number of patients whose HbA1C level had decreased or was unchanged was greater than those patients whose HbA1C level had increased. The patient group in which the HbA1C level had increased displayed a significantly higher eGFR and lower HDL level than the patient group in which the HbA1C level had decreased/was unchanged.

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