Resumen




Effect in self-care behavior and difficulties in coping with diabetes during the COVID-19 pandemic


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Rubén Silva-Tinoco, Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública del Gobierno de la Ciudad de México, Mexico City. Mexico
Arnulfo González-Cantú, Department of Research and Teaching, Hospital Clínica Nova, San Nicolás de los Garza, Nuevo León. México
Viridiana de la Torre-Saldaña, Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública del Gobierno de la Ciudad de México, Mexico City. Mexico
Eileen Guzmán-Olvera, Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública del Gobierno de la Ciudad de México, Mexico City. Mexico
Teresa Cuatecontzi-Xochitiotzi, Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública del Gobierno de la Ciudad de México, Mexico City. Mexico
Lilia Castillo-Martínez, Department of Clinical Nutrition, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City. Mexico
Mª Elena Romero-Ibarguengoitia, Department of Research and Teaching, Hospital Clínica Nova, San Nicolás de los Garza, Nuevo León. Mexico
Areli Nahuacatl-López, Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública del Gobierno de la Ciudad de México, Mexico City, Mexico
Carmen Castillo-Galindo, Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública del Gobierno de la Ciudad de México, Mexico City, Mexico
Arturo Orea-Tejeda, Department of Cardiology, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City, Mexico
Javier Serna-Alvarado, Public Health Services of the Mexico City Government, Mexico City. Mexico
Enrique León-García, Public Health Services of the Mexico City Government, Mexico City. Mexico
Jorge Ochoa-Moreno, Public Health Services of the Mexico City Government, Mexico City. Mexico


In this study, difficulties in coping with diabetes were evaluated during the coronavirus disease 2019 (COVID-19) lockdown. Similarly, the change in diabetes self-care activities was evaluated in patients with a recent assessment before COVID-19 lockdown in Mexico City. In 212 patients with type 2 diabetes (T2D) and regular primary care, a designed questionnaire was used to evaluate the presence/absence of difficulties in self-care related to diet, physical activity/exercise, glucose monitoring, treatment adherence, getting pharmacological treatment, and confinement adherence. The Summary of Diabetes Self-Care Activities tool was used to compare the frequency of self-care behaviors in the past 7 days. Self-reported difficulties in coping with T2D were documented and included difficulties in self-care behaviors related to diet (41.6%), physical activity/exercise (40.5%), glucose monitoring (23.7%), getting pharmacological treatment (22.9%), pharmacological treatment adherence (19%), and home-confinement adherence (11.7%). In the group of patients with a recent previous-lockdown evaluation, global self-care behavior decreased from 5.15±0.9 to 4.49 ± 1.02 days/week, p < 0.001. Diabetes self-care was a predictor for the presence of difficulties in coping with diabetes. Patients with T2D reported difficulties in coping with T2D and decreased diabetes self-care activities during the COVID-19 lockdown in Mexico City. Health-care policies must be designed and implemented to attenuate diabetes disease burden caused by this ongoing and future health-contingencies.



Palabras clave: Diabetes self-care. Self-care behavior. Coronavirus disease 2019. Lockdown.