THE IMPACT OF CHANGES IN HABITS ON THE PROGRESSION OF COMPLICATIONS DURING THE COVID-19 PANDEMIC IN PATIENTS WITH DIABETES MELLITUS UNDER 65 YEARS OF AGE UNDER CONDITIONS OF SOCIAL ISOLATION IN ADJARA REGION

Аннотация

The aim of the study was to study glycemic control, habit changes, frequency of complications and the need for medical assistance in patients with diabetes under 65 years of age. Results and discussion: according to the results of our study, no statistically significant difference was found between the groups in terms of sleep, weight and eating habits during social isolation, although weight gain in females is higher n=231 (33.14%), compared to males n=183 (26.26%). There is no reliable difference in the way the patients contact the doctor, the contact was mainly made by phone or they did not contact at all. Statistically significant difference in blood sugar level fluctuations during isolation was systematically higher than 250mg% and ranged from 140mg% to 250mg%. It is significantly higher in female patients and amounts to n=115 (17.75%) and n=137 (21.14%) respectively p =.023. The difference in terms of physical training is statistically reliable, men n=149 (21.07%) and women n=127 (17.96%) did not exercise, respectively. p = <.001. Outpatient care during isolation due to high blood pressure is significantly higher in female patients n=127 (22.01%) p =.001. The increase in cigarette and alcohol consumption is significantly higher in male patients and is n=106 (15.08%) p = <.001 and n=61 (8.7%) p = <.001, respectively. Both factors in the general population equally increase the risk of hospitalization due to heart problems by bypassing/stenting n=119 (16.83%) - alcohol consumption p = <.001 and n=120 (16.95%) cigarette consumption p = <.001. Thus, our research shows that in the conditions of isolation and limitation of medical care, the tendency to bad habits increases in diabetic patients, as well as the glycemic profile and blood pressure indicators are violated, which reliably increases the risk of hospitalization due to heart problems due to bypassing / stenting and the risk of developing multiple micro-macroangiopathy.