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Information × Registration Number 0224U033239, (0123U103501) , R & D reports Title The optimization of medical care to patients with type 2 diabetes during the war and post-war periods popup.stage_title Опитування з подальшим обстеженням пацієнтів із ЦД 2-го типу. Дисемінація та узагальнення результатів Head Nazarii M. Kobyliak, Доктор медичних наук Registration Date 23-12-2024 Organization Bogomolets National Medical University popup.description1 Develop an effective model of providing medical care to patients with T2D in extreme conditions, taking into account the impact of various war factors on the course of the disease (compensation, development of life-threatening complications, mental health, etc.) popup.description2 This is the first study demonstrating the cumulative effect of the war on the T2D course, which undermines glycemic control maintenance, threatens health and outcomes of persons with diabetes. War-related experience, occupation or displacement together with the inability to monitor glucose, maintain diet and physical activity, and get endocrinologist support were the most significant factors in worsening the T2D course. These results define patients at greater risk of T2D progression and can inform planning prevention measures and further improvements in diabetic care. Interestingly, higher HbA1c values before the war were associated with lower T2D progression, possibly due to increased awareness and better risk management among such patients. Conversely, patients with the lowest HbA1c values before the war had higher chances of T2D progression. Similar counterintuitive results were observed for patient age, with younger patients showing increased chances of T2D progression. Several risk factors facilitating post-COVID-19 syndrome development in T2D patients were revealed. We found that patients who were newly diagnosed with T2D, had an HbA1c above 9.2%, had previous cardiovascular or cerebrovascular events, and had severe COVID-19 associated with mechanical lung ventilation were at high risk for post-COVID-19 syndrome development. New-onset T2D which occur during or after acute COVID-19 phase more frequently observed in normal/overweight persons and characterized with more aggressive presentation as compared to matched patient with onset of T2D before COVID-19. Product Description popup.authors popup.nrat_date 2024-12-23 Close