The effect of extensive flooding in Hull on the glycaemic control of patients with diabetes

J. M. Ng, Stephen Atkin, A. S. Rigby, C. Walton, E. S. Kilpatrick

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Aims To examine the impact of extensive flooding in a UK city in 2007 on the glycaemic control of patients with diabetes mellitus. Methods This was a longitudinal study in patients with diabetes mellitus 12months before and after the floods in Hull and East Yorkshire, UK. All patients registered with diabetes mellitus were sent questionnaires about their experiences during and after the floods. Glycaemic control for patients directly affected by the floods was compared against those unaffected. Results Of 1743 respondents, 296 patients had been affected by the floods (110 insulin treated, 186 lifestyle and oral agents) and 1447 unaffected (482 insulin treated, 965 lifestyle and oral agents). There was a rise in mean HbA1c of affected individuals comparing 12months before the floods with 12months after [mean (95% confidence interval), 7.6% (7.5-7.7) vs. 7.9% (7.7-8.0), P=0.002], but not those unaffected [7.5% (7.4-7.6) vs. 7.5% (7.4-7.6), P=0.46]. The difference was mainly in insulin-treated patients [8.6% (8.3, 8.9) affected vs. 8.2% (8.1, 8.3) unaffected, (P=0.002)]. Conclusions Glycaemic control deteriorated in diabetes patients following the floods but was almost exclusively confined to patients taking insulin and was worst at 6-9months following the event. Insulin-treated patients may need specific targeting in the event of a natural disaster.

Original languageEnglish
Pages (from-to)519-524
Number of pages6
JournalDiabetic Medicine
Volume28
Issue number5
DOIs
Publication statusPublished - May 2011
Externally publishedYes

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Insulin
Diabetes Mellitus
Life Style
Disasters
Longitudinal Studies
Confidence Intervals
Surveys and Questionnaires

Keywords

  • Glycaemic control
  • HbA flooding

ASJC Scopus subject areas

  • Endocrinology
  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

The effect of extensive flooding in Hull on the glycaemic control of patients with diabetes. / Ng, J. M.; Atkin, Stephen; Rigby, A. S.; Walton, C.; Kilpatrick, E. S.

In: Diabetic Medicine, Vol. 28, No. 5, 05.2011, p. 519-524.

Research output: Contribution to journalArticle

Ng, J. M. ; Atkin, Stephen ; Rigby, A. S. ; Walton, C. ; Kilpatrick, E. S. / The effect of extensive flooding in Hull on the glycaemic control of patients with diabetes. In: Diabetic Medicine. 2011 ; Vol. 28, No. 5. pp. 519-524.
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