Poster Abstract Abstract
Psychosocial consequences of COVID-19 pandemic in teenagers with diabetes
Hooi Peng Cheng, Putrajaya Hospital; Nalini M Selveindran, Putrajaya Hospital; Jeanne Sze Lyn Wong, Putrajaya Hospital; Lisa Mohamed Nor, Putrajaya Hospital; Janet Yeow Hua Hong, Putrajaya Hospital
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The management of teenagers with diabetes during the Covid-19 pandemic has become more challenging with the negative psychosocial impacts brought upon by the pandemic.
Cross-sectional study to identify the factors influencing the glycaemic control (HbA1c) during COVID-19 pandemic. Interviews regarding the lifestyle changes were conducted among the teenagers with type 1 (T1DM) and type 2 diabetes mellitus (T2DM), followed by the administration of Depression, Anxiety and Stress Scale (DASS-21).
59 patients with T1DM (32 males, 54.2%) and 31 patients with T2DM (10 males, 32.3%) were recruited. Overall, the HbA1c worsened from 9.13% prior to the COVID-19 pandemic to 9.33% during the pandemic (p value 0.039). Significant factors which negatively influenced glycaemic control was male sex, puberty, prolonged screen time, presence of symptoms of anxiety/stress and T2DM. However, skipping breakfast, sleep adequacy and physical activity did not directly influence the HbA1c. About one third of the participants suffered some forms of mental disturbance (31.1% of patients had depressive symptoms, 38.9% of patients had anxiety symptoms, 23.3% of patients experience some stress). The incidence of depression was higher in T2DM patients, while anxiety and stress were higher in T1DM. Male gender, good glycaemic control pre-pandemic and prepubertal status were associated with depressive symptoms during the pandemic.
Besides the disruption of daily routine, glycaemic control worsened among the diabetic adolescents during the COVID-19 pandemic. A holistic management plan is needed to address psychosocial concerns of this group to ensure optimal mental well-being and appropriate glycaemic control.