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Table 4 Diabetes and diabetic retinopathy management for children/young adults during the COVID-19 pandemic in Bangladesh

From: Adherence to diabetic retinopathy screening among children and young adults in Bangladesh

DM and diabetic retinopathy management during the COVID-19 Pandemic

Attended last DRS appointment

(n = 343)

Did not attend last DRS appointment

(n = 47)

p-value

Accessed DM/DR treatment services during the COVID-19 pandemic, Y, n (%)

153(44.6%)

10(21.3%)

0.002*

What treatment services did you access during the COVID-19 pandemic, n (%)

 - Telemedicine service

 - BADAS Centres

 - BIRDEM Women and Children Hospital

 - Visited nearby Medicine shop/Pharmacy,

 - Government hospitals (UHC/Sadar Hospital)

 - MBBS doctor

 - Private Hospital

 - Eye Hospital

 - NGO hospital (non-profit)

 - Guidance of BIRDEM

 - Courier from PDRC

 - Others

35(10.2%)

14(4.1%)

25(7.3%)

85(24.8%)

4(1.0%)

7(2.0%)

16(4.7%)

3(0.9%)

0(0.0%)

19(5.5%)

0(0.0%)

1(0.3%)

3(6.4%)

0(0.0%)

2(4.3%)

4(8.5%)

0(0.0%)

0(0.0%)

1(2.1%)

0(0.0%)

0(0.0%)

1(2.1%)

0(0.0%)

1(2.1%)

0.337

Difficulties with DM treatment during COVID-19 pandemic, Y, n (%)

230(67.1%)

19(40.4%)

< 0.001*

What type of difficulties did you face when managing your DM during COVID-19 pandemic, n (%)

(multiple response)

 - Missing follow up visit

 - No access to insulin

 - Struggled to monitor blood sugar levels consistently

 - Poor diet control

 - Poor exercise control

 - Missed taking regular oral medication

 - Couldn’t travel for treatment

 - Routine services from BIRDEM were not available

 - Others

180(52.5%)

88(25.7%)

12(3.5%)

34(9.9%)

69(20.1%)

3(0.9%)

168(49.0%)

0(0.0%)

1(0.3%)

13(27.7%)

13(27.7%)

3(6.4%)

1(2.1%)

1(2.1%)

0(0.0%)

14(29.8%)

0(0.0%)

0(0.0%)

0.769

0.335

0.080

0.003*

0.520

0.013*

--

0.711

0.075

  1. Abbreviations: Y: Yes, DM: DM mellitus, DR: diabetic retinopathy,
  2. BADAS: Diabetic Association of Bangladesh, NGO: Non-Governmental Organisation,
  3. MBBS: Bachelor of Medicine-Bachelor of Surgery, CDiC: Changing DM in Children Programme
  4. *Statistically significant at 5% level (p-value < 0.05)