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Efficacy of telemedicine for persons with type 1 diabetes during Covid19 lockdown.
Boscari, Federico; Ferretto, Sara; Uliana, Ambra; Avogaro, Angelo; Bruttomesso, Daniela.
  • Boscari F; Department of Medicine, Unit of Metabolic Disease, University of Padova, 35128, Padova, Italy.
  • Ferretto S; Department of Medicine, Unit of Metabolic Disease, University of Padova, 35128, Padova, Italy.
  • Uliana A; Department of Medicine, Unit of Metabolic Disease, University of Padova, 35128, Padova, Italy.
  • Avogaro A; Department of Medicine, Unit of Metabolic Disease, University of Padova, 35128, Padova, Italy.
  • Bruttomesso D; Department of Medicine, Unit of Metabolic Disease, University of Padova, 35128, Padova, Italy. daniela.bruttomesso@unipd.it.
Nutr Diabetes ; 11(1): 1, 2021 01 05.
Article in English | MEDLINE | ID: covidwho-1065842
ABSTRACT

BACKGROUND:

Starting March 2020 the Italian Government imposed a lockdown to limit the spread of SARS-CoV-2. During lockdown outpatient visits were limited and telemedicine (TM) was encouraged.

METHODS:

We retrospectively analyzed data from continuous or flash glucose monitoring systems shared through different cloud systems during the lockdown by subjects with type 1 diabetes and compared data obtained 4 weeks before and 4 weeks after structured telephonic visit. Variables considered were mean glucose, time spent in target (70-180 mg/dl), hypoglycemia (<70 mg/dl) and hyperglycemia (>180 mg/dl), coefficient of variation, and length of sensor use.

RESULTS:

During the 4 weeks following the telephonic visit there was an improvement of glycemic control, with a significant reduction of mean glucose values (161.1 before vs 156.3 mg/dl after, p = 0.001), an increase of the time spent in target (63.6 vs 66.3, p = 0.0009) and a reduction of time spent in hyperglycemia (33.4 vs 30.5, p = 0.002). No changes were observed regarding glucose variability, time spent in hypoglycemia, and length of sensor use. Similar results were observed in subjects treated with multiple daily injections or continuous subcutaneous insulin infusion.

CONCLUSIONS:

A structured telephonic visit appears to be an effective way to replace or integrate routine visits in particular conditions.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Quarantine / Telemedicine / Diabetes Mellitus, Type 1 / Pandemics / COVID-19 Type of study: Experimental Studies / Observational study Limits: Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English Journal: Nutr Diabetes Year: 2021 Document Type: Article Affiliation country: S41387-020-00147-8

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quarantine / Telemedicine / Diabetes Mellitus, Type 1 / Pandemics / COVID-19 Type of study: Experimental Studies / Observational study Limits: Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English Journal: Nutr Diabetes Year: 2021 Document Type: Article Affiliation country: S41387-020-00147-8