Association between glycemic control in different emotional conditions and adherence to carbohydrate counting in people with type 1 diabetes during the COVID-19 pandemic in Brazil
Palabras clave:
Behavior, Diabetes Mellitus, type 1, Mental health, Social isolationResumen
Objective
Evaluate the association between glycemic control in different emotional perceptions and the adherence to carbohydrate counting by adults with type 1 diabetes during the COVID-19 pandemic in Brazil.
Methods
This cross-sectional, descriptive, and analytical study was approved by the Research Ethics Committee (Opinion nº 4,147,663) and conducted in July 2020 using a Google Forms® form. Socioeconomic and demographic data were collected; glycemic monitoring according to the individuals’ emotions at the time of measurement (happy, motivated, or hopeful; stressed or anxious; sad, distressed, or with depressive symptoms); data on adherence to carbohydrate counting and social distancing. Pearson’s Chi-Square test was applied with adjusted residual analysis (p<0.05).
Results
Approximately 64.62% of the 472 participants, had hyperglycemia when stressed/anxious, and 52.97% when they felt sad/distressed/depressive (p<0.000). Associations were observed between having normoglycemia in any emotional situation and performing the carbohydrate counting (p<0.000); perceiving oneself as happy/motivated/hopeful and having hyperglycemia, and not measuring blood glucose was associated with not having the carbohydrate counting (p<0.000); being stressed or anxious was associated with not measuring blood glucose and not having the carbohydrate counting (p<0.000).
Conclusion
The need for multidisciplinary care to enhance mental health and adherence to treatment for people with type 1 diabetes is highlighted.
Citas
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Derechos de autor 2023 Vandemberg Ramos VIANA, Manuela Maria de Lima CARVALHAL, Jeane Lorena Dias KIKUCHI, Karem Miléo FELÍCIO, Daniela Lopes GOMES
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
