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ABSTRACT
The present study aims at identifying main barriers faced by people living with diabetes in Brazil during the COVID-19 pandemic.

METHODS:

In a convenience sampling study, data were collected from 1701 individuals, aged 18 or above; 75.54% female participants; 60.73% T1D and 30.75% T2D, between April 22nd and May 4th, using an anonymous and untraceable survey containing 20 multiple choice questions (socio-demographic; health status and habits of life during COVID-19 pandemic). Relationship between variables was established using the multiple correspondence analysis technique.

RESULTS:

95.1% of respondents reduced their frequency of going outside of their homes; among those who monitored blood glucose at home during the pandemic (91.5%), the majority (59.4%) experienced an increase, a decrease or a higher variability in glucose levels; 38.4% postponed their medical appointments and/or routine examinations; and 59.5% reduced their physical activity. T1D, the youngest group, was more susceptible to presenting COVID-19 symptoms despite not being testing; whilst the T2D group had higher frequency of comorbidities that are additional risk factors for COVID-19 severity.

CONCLUSIONS:

This study provides a first hand revelation of the severity of COVID-19 on individuals with diabetes in Brazil. Their habits were altered, which impacted their glycemia, potentially increasing the risk of poor outcomes and mortality if infected by SARS-CoV-2, and of acute and chronic diabetes complications.
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Full text: Available Database: MEDLINE Type: Article Main subject: Pneumonia, Viral / Coronavirus Infections / Diabetes Mellitus / Betacoronavirus Subject: Pneumonia, Viral / Coronavirus Infections / Diabetes Mellitus / Betacoronavirus Type of study: Etiology study / Patient-preference / Prognostic study / Risk factors Language: English Journal: Diabetes Res Clin Pract Clinical aspect: Etiology / Therapy Year: 2020