Improved CGM Glucometrics and More Visits for Pediatric Type 1 Diabetes Using Telemedicine During 1 Year of COVID-19.
J Clin Endocrinol Metab
; 107(10): e4197-e4202, 2022 09 28.
Article
in English
| MEDLINE | ID: covidwho-1987098
ABSTRACT
PURPOSE:
The COVID-19 pandemic led to rapid adoption of telemedicine for the care of youth with type 1 diabetes (T1D). We assessed the utility of a primarily virtual care model by comparing glucometrics from a pediatric sample with T1D using continuous glucose monitoring (CGM) both before and during the pandemic.METHODS:
Pediatric patients aged 1 to 17 years with T1D durationâ ≥â 1 year ifâ ≥â 6 years old orâ ≥â 6 months ifâ <â 6 years old, withâ ≥â 1 visit with recorded CGM data both prepandemic (April 1, 2019-March 15, 2020) and during the pandemic (April 1, 2020-March 15, 2021) were included. Data were extracted from the electronic health record.RESULTS:
Our sample comprised 555 young people (46% male, 87% White, 79% pump-treated), mean age 12.3â ±â 3.4 years, T1D duration 5.9â ±â 3.5 years, baseline glycated hemoglobin A1c 8.0â ±â 1.0% (64â ±â 10.9 mmol/mol). Diabetes visit frequency increased from 3.8â ±â 1.7 visits/prepandemic period to 4.3â ±â 2.2 visits/pandemic period (Pâ <â 0.001); during pandemic period, 92% of visits were virtual. Glucose management indicator (GMI) improved slightly from 7.9% (63 mmol/mol) prepandemic to 7.8% (62 mmol/mol) during the pandemic (Pâ <â 0.001). Those with equal or greater visit frequency (nâ =â 437 [79% of sample]) had significant improvement in GMI (8.0% to 7.8% [64 to 62 mmol/mol], Pâ <â 0.001), whereas those with lower visit frequency did not (7.8 [62 mmol/mol], Pâ =â 0.86).CONCLUSIONS:
Children and adolescents with T1D using CGM before and during the pandemic showed an overall increase in visit frequency using primarily telemedicine-based care and improved CGM glucometrics. Further research is needed to understand factors associated with successful use of telemedicine for pediatric T1D.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Telemedicine
/
Diabetes Mellitus, Type 1
/
COVID-19
Type of study:
Observational study
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
English
Journal:
J Clin Endocrinol Metab
Year:
2022
Document Type:
Article
Affiliation country:
Clinem
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