Primary care monitoring of HbA1c tests in type 2 diabetic patients in Northern France and impact of the successive COVID-19 pandemic containments

French health authorities recommend the testing of HbA1c every 3 to 6 months in patients with diabetes. The successive containments linked to the SARSCoV-2 pandemic may have had a profound impact on the follow-up of diabetic patients in primary care. The objective of this study was to investigate th...

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Published inDiabetes epidemiology and management Vol. 16; p. 100233
Main Authors Demoule, Dr. Julie, Quindroit, Dr. Paul, Frévent, Dr. Camille, Collins, Prof. Dr. Claire, Chazard, Prof. Dr. Emmanuel, Beuscart, Prof. Dr. Jean-Baptiste, Berkhout, Prof. Dr. Christophe, Calafiore, Dr. Matthieu, Quersin, Dr. François
Format Journal Article
LanguageEnglish
Published Elsevier Masson SAS 01.10.2024
Elsevier
SeriesDiabetes Epidemiol. Manag
Subjects
COVID-19
Diabetes mellitus
Disease management
Glycated hemoglobin
Life Sciences
Primary health care
Type 2
COVID-19
Type 2
Glycated hemoglobin
Disease management
Primary health care
Diabetes mellitus
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Summary:French health authorities recommend the testing of HbA1c every 3 to 6 months in patients with diabetes. The successive containments linked to the SARSCoV-2 pandemic may have had a profound impact on the follow-up of diabetic patients in primary care. The objective of this study was to investigate the effect of containments on the volume of HbA1c assays and on HbA1c values of type 2 diabetic patients monitored in primary care in Northern France compared to usual seasonal variations. Epidemiological study of a multicentre retrospective cohort, collecting the number and the value of HbA1c assays from type 2 diabetic patients, carried out in 73 private medical analysis laboratories in Northern France region between October 1, 2018 and October 31, 2022. A total of 196,744 patients and 828,037 tests were included. The first and third containments were associated with a significant decrease in the mean number of performed HbA1c tests, the decrease in the 2nd containment did not reach significance. We observed a significant decrease in HbA1c testing during the winter holiday season and the summer months. The variations in HbA1c values were not substantial compared to seasonal variations.
ISSN:2666-9706
2666-9706
DOI:10.1016/j.deman.2024.100233