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The impact of a telehealth intervention on the metabolic profile of diabetes mellitus patients during the COVID-19 pandemic - A randomized clinical trial.
Franco, Debora Wilke; Alessi, Janine; de Carvalho, Taíse Rosa; Kobe, Gabriel Luiz; Oliveira, Giovana Berger; Knijnik, Carolina Padilla; Amaral, Bibiana; Becker, Alice Scalzilli; Schaan, Beatriz D; Telo, Gabriela Heiden.
  • Franco DW; Post-graduate program in Medicine and Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, Brazil; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Brazil. Electronic address: deborawilkefranco@gmail.com.
  • Alessi J; Internal Medicine department, Hospital São Lucas - Pontifícia Universidade Católica do Rio Grande do Sul, Brazil; Post-graduate program in Medical Science: Endocrinology, Universidade Federal do Rio Grande do Sul, Brazil.
  • de Carvalho TR; Post-graduate program in Medicine and Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, Brazil; Internal Medicine department, Hospital São Lucas - Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.
  • Kobe GL; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.
  • Oliveira GB; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.
  • Knijnik CP; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.
  • Amaral B; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.
  • Becker AS; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.
  • Schaan BD; Post-graduate program in Medical Science: Endocrinology, Universidade Federal do Rio Grande do Sul, Brazil; School of Medicine, Universidade Federal do Rio Grande do Sul, Brazil; Endocrinology division, Hospital de Clínicas de Porto Alegre, Brazil.
  • Telo GH; Post-graduate program in Medicine and Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, Brazil; Internal Medicine department, Hospital São Lucas - Pontifícia Universidade Católica do Rio Grande do Sul, Brazil; School of Medicine, Pontifícia Universidade Católica do Rio Grande d
Prim Care Diabetes ; 16(6): 745-752, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-2061753
ABSTRACT

OBJECTIVES:

The objective of this study was to evaluate the impact of a telehealth intervention on metabolic outcomes and self-perceptions of the patients regarding their management of diabetes during the COVID-19 pandemic.

METHODS:

This is a non-blind randomized controlled clinical trial to assess a telehealth intervention. We included adults with diabetes mellitus. The outcomes assessed were the level of HbA1c, lipid profile, blood pressure levels, weight, body mass index and self-perceptions about diabetes management.

RESULTS:

A total of 150 individuals with diabetes participated in the study and at the end of telehealth intervention there were no changes in the patient's HbA1c levels between intervention and control groups for neither type 1 (8.1% vs. 8.6%; p = 0.11) nor type 2 diabetes (8.6% vs. 9.0%; p = 0.09), respectively. From the rest of the metabolic profile, triglyceride levels from type 1 diabetes group was the only variable that demonstrated improvement with telehealth intervention (66.5% intervention group vs. 86.5% control group; p = 0.05).

CONCLUSIONS:

After 4 months of telehealth intervention, no statistically significant results were observed in HbA1c nor in secondary outcomes (with the exception of triglycerides for the type 1 diabetes group).
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Diabetes Mellitus, Type 1 / Diabetes Mellitus, Type 2 / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans Language: English Journal: Prim Care Diabetes Journal subject: Endocrinology Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Diabetes Mellitus, Type 1 / Diabetes Mellitus, Type 2 / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans Language: English Journal: Prim Care Diabetes Journal subject: Endocrinology Year: 2022 Document Type: Article