EVOLUCIÓN DEL CONTROL METABÓLICO EN NIÑOSYADOLESCENTES CON DIABETESTIPO 1,LUEGO DELAISLAMIENTO IMPLEMENTADO DURANTE LA PANDEMIA POR COVID-19

Abstract

Introduction: the lock down during the COVID-19 pandemic meant great changes in the care of patients with diabetes, which could affect metabolic control. Objectives: to assesse whether there were changes in metabolic control in children under 18 years of age with type 1 diabetes followed up in the Nutrition and Diabetes Service of the Pedro de Elizalde Children's General Hospital (HGNPE), after the social isolation measures implemented during the COVID-19 pandemic and estimate the frequency of acute complications and the variation of the Z-score of Body Mass Index (BMI). Materials and methods: longitudinal, retrospective, observational study. Patients aged 1 to 18 years old with type 1 diabetes of more than one year of evolution, with regular follow-up in the HGNPE, who had been evaluated, with determination of glycosylated hemoglobin, between December 2019 and March 2020 (pre-quarantine) and between December 2020 and March80 2021. Of these patients, those who attended a subsequent control between December 2020 and March 2021 were considered for a comparative analysis. Results: 88 patients were included, of which 59 underwent a control in the second period. The initial HbA1c was 8,8% (IIC 25-75 = 7,42-9,4) and the subsequent one was 8,3% (IIC 25-75 = 7,2-9,95), the z-score of initial BMI was 0,35 ± 1,02 and the subsequent one was 0,37 ± 0,97, with non-significant differences in both cases. 15% (n = 9) of the patients had acute complications. Conclusion: no significant changes were found in HbA1c and BMI z-score between the periods compared. Key words: type 1 diabetes; lock down; COVID-19; metabolic control; body mass index.