• C J W Ledford, C Roberts, E Whisenant, C Walters, K Akamiro, J Butler, A Ali, and D A Seehusen.
• From the Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD (CJWL); Department of Family Medicine, Augusta University, Augusta, GA (CR, EW, CW, KA, JB, AA, DAS).
• J Am Board Fam Med. 2021 Feb 1; 34 (Suppl): S192-S195.

AimsWe hypothesized that glycemic control in outpatients, measured by HbA1c, was worse during the early months of the COVID-19 pandemic than in 2019. We sought to quantify how much worse and to determine if social determinants of health were associated with these differences.Materials And MethodsData were extracted from the electronic medical records of 2 cohorts of patients seen in the family medicine clinic of a southeastern academic health center. Three hundred patients with baseline HbA1c results as well as HbA1c results in May 2019 or May 2020 were evaluated.ResultsThe groups had similar mean baseline HbA1c (7.65, SD = 1.50 for 2019; 7.61, SD = 1.71 for 2020; P = .85). Mean May HbA1c decreased from baseline in 2019 (7.19, SD = 1.45) but rose in 2020 (7.63, SD = 1.73), a statistically significant difference (P < .01). Controlling for age, gender, race, and insurance status, HbA1c in May 2020 (meanadj = 7.73) was significantly higher than in May 2019 (meanadj = 7.16).ConclusionsDuring the early months of the COVID-19 pandemic, glycemic control in our patient population was significantly worse than during the same period in 2019 (mean HbA1c difference = 0.57). Contrary to our expectations, we did not find associations between patient demographic variables and glycemic control, including race.© Copyright 2021 by the American Board of Family Medicine.

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