Endocrine Abstracts

For the first time in Georgia (Ajara) has been started in parallel two research populations in with the management of diabetes and its complications during social isolation under the conditions of the Covid 19 pandemic. The research (PHDF-22-2943) is carried out with the financial support of Shota Rustaveli National Science Foundation.

Aim: The aim of the study is to compare, How adequately used blood glucose and blood pressure control at home, the opinion of diabetic patients and doctors regarding the management of the disease during the covid-19 pandemic in the conditions of social isolation.

Material and Methods: a cross-sectional study design with a special questionnaire was used. Two survey forms were developed for Doctors and for Patients with diabetes. Both questionnaires were converted to the Microsoft form format. The study began in October 2022. So far, 220 Patients with diabetes and 72 doctors have participated in the survey.

Results and Discussion: According to preliminary data, it was found that, although 97% of patients have a personal glucometer and tonometer. During the isolation 11% of patients did not monitor blood glucose level, 33% tested once a week, 11% once a day, 44% several times a day; According to doctors opinion, 3% of patients did not test for blood glucose, 42% tested once a week, 21% once a day, 34% several times a day. Glycemic ranged between 140-250 mg% was 72% in the group of patients and 84.5% cases in the group of doctors. In the group of patients, 19.5% did not test their blood pressure. High BP up to 150 mm/hg was 39% of patients were observed in the group of doctors 69%. According to the doctors, medical intervention was needed 13% for angina pectoris attack, myocardial infarction 8%, heart failure 8%, arterial hypertension 43%, hyperglycemia 7% hypoglycemia 2%; among the patients in 13% cases heart attack, high blood pressure 22%, hyperglycemia 8%, kidney stones 2%. In both groups, there was insomnia in the group of patient 56% and in the group of doctor 62%, as well as anxiety in the group of doctors 82%, in the group of patients 58% and Feeling of loneliness 28%.

Conclusion: Inadequate glycemic and blood pressure control in diabetic patients increases the risk of developing cardiovascular disease and subsequent death, especially during emotional instability and isolation. It is necessary to increase the patient’s awareness about blood pressure and glycemic control in order to prevent complications.