The Value of Telemedicine for the Follow-up of Patients with New Onset Type 1 Diabetes Mellitus During COVID-19 Pandemic in Turkey: A Report of Eight Cases

The current Coronavirus disease-2019 (COVID-19) pandemic has forced health care teams to look for alternative approaches to manage a great number of children with diabetes, not only in rural but also in urban locations. The aim was to assess the provision of information about follow-up of new-onset...

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Autores principales:	Ferda Evin, Eren Er, Aysun Ata, Arzu Jalilova, Günay Demir, Yasemin Atik Altınok, Samim Özen, Şükran Darcan, Damla Gökşen
Formato:	article
Lenguaje:	EN
Publicado:	Galenos Yayincilik 2021
Materias:	type 1 diabetes telemedicine covid-19 technology sensor augmented pump Pediatrics RJ1-570 Diseases of the endocrine glands. Clinical endocrinology RC648-665
Acceso en línea:	https://doaj.org/article/8ea6db80154848dd937262e2e7ba4643
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spelling	oai:doaj.org-article:8ea6db80154848dd937262e2e7ba46432021-11-26T06:10:17ZThe Value of Telemedicine for the Follow-up of Patients with New Onset Type 1 Diabetes Mellitus During COVID-19 Pandemic in Turkey: A Report of Eight Cases1308-57271308-573510.4274/jcrpe.galenos.2020.2020.0160https://doaj.org/article/8ea6db80154848dd937262e2e7ba46432021-12-01T00:00:00Z http://www.jcrpe.org/archives/archive-detail/article-preview/the-value-of-telemedicine-for-the-follow-up-of-pat/41648 https://doaj.org/toc/1308-5727https://doaj.org/toc/1308-5735The current Coronavirus disease-2019 (COVID-19) pandemic has forced health care teams to look for alternative approaches to manage a great number of children with diabetes, not only in rural but also in urban locations. The aim was to assess the provision of information about follow-up of new-onset pediatric type 1 diabetes (T1D) patients, and to investigate the integration of telemedicine into routine clinical care in the long term. The changes in coefficient of variation (CV), standard deviation and percentages of time in range (TIR), time below range (TBR) and time above range were evaluated in eight children with new-onset T1D, diagnosed during the COVID-19 pandemic. The study period was two-months of follow-up using a telemedicine system. Median follow-up time was 51 (24-66) days. Two of the patients were using low glucose suspend system and six were on multiple daily injection therapy. Target TIR values were achieved in seven patients in the last televisit and, in line with recent guidelines, a TBR <70 mg/dL (<3.9 mmol/L) (level 1 hypoglycemia) of <4% and a TBR <54 mg/dL (<3.0 mmol/L) (level 2 hypoglycemia) of <1% were achieved in all patients. Seven patients achieved a CV of <36% at their last televisit. Telemedicine as an alternative follow-up tool during unusual circumstances such pandemics, even in countries where it is not routinely used, could be beneficial to achieve optimum glycemic control in patients with new-onset T1D.Ferda EvinEren ErAysun AtaArzu JalilovaGünay DemirYasemin Atik AltınokSamim ÖzenŞükran DarcanDamla GökşenGalenos Yayincilikarticletype 1 diabetestelemedicinecovid-19technologysensor augmented pumpPediatricsRJ1-570Diseases of the endocrine glands. Clinical endocrinologyRC648-665ENJCRPE, Vol 13, Iss 4, Pp 468-472 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	type 1 diabetes telemedicine covid-19 technology sensor augmented pump Pediatrics RJ1-570 Diseases of the endocrine glands. Clinical endocrinology RC648-665
spellingShingle	type 1 diabetes telemedicine covid-19 technology sensor augmented pump Pediatrics RJ1-570 Diseases of the endocrine glands. Clinical endocrinology RC648-665 Ferda Evin Eren Er Aysun Ata Arzu Jalilova Günay Demir Yasemin Atik Altınok Samim Özen Şükran Darcan Damla Gökşen The Value of Telemedicine for the Follow-up of Patients with New Onset Type 1 Diabetes Mellitus During COVID-19 Pandemic in Turkey: A Report of Eight Cases
description	The current Coronavirus disease-2019 (COVID-19) pandemic has forced health care teams to look for alternative approaches to manage a great number of children with diabetes, not only in rural but also in urban locations. The aim was to assess the provision of information about follow-up of new-onset pediatric type 1 diabetes (T1D) patients, and to investigate the integration of telemedicine into routine clinical care in the long term. The changes in coefficient of variation (CV), standard deviation and percentages of time in range (TIR), time below range (TBR) and time above range were evaluated in eight children with new-onset T1D, diagnosed during the COVID-19 pandemic. The study period was two-months of follow-up using a telemedicine system. Median follow-up time was 51 (24-66) days. Two of the patients were using low glucose suspend system and six were on multiple daily injection therapy. Target TIR values were achieved in seven patients in the last televisit and, in line with recent guidelines, a TBR <70 mg/dL (<3.9 mmol/L) (level 1 hypoglycemia) of <4% and a TBR <54 mg/dL (<3.0 mmol/L) (level 2 hypoglycemia) of <1% were achieved in all patients. Seven patients achieved a CV of <36% at their last televisit. Telemedicine as an alternative follow-up tool during unusual circumstances such pandemics, even in countries where it is not routinely used, could be beneficial to achieve optimum glycemic control in patients with new-onset T1D.
format	article
author	Ferda Evin Eren Er Aysun Ata Arzu Jalilova Günay Demir Yasemin Atik Altınok Samim Özen Şükran Darcan Damla Gökşen
author_facet	Ferda Evin Eren Er Aysun Ata Arzu Jalilova Günay Demir Yasemin Atik Altınok Samim Özen Şükran Darcan Damla Gökşen
author_sort	Ferda Evin
title	The Value of Telemedicine for the Follow-up of Patients with New Onset Type 1 Diabetes Mellitus During COVID-19 Pandemic in Turkey: A Report of Eight Cases
title_short	The Value of Telemedicine for the Follow-up of Patients with New Onset Type 1 Diabetes Mellitus During COVID-19 Pandemic in Turkey: A Report of Eight Cases
title_full	The Value of Telemedicine for the Follow-up of Patients with New Onset Type 1 Diabetes Mellitus During COVID-19 Pandemic in Turkey: A Report of Eight Cases
title_fullStr	The Value of Telemedicine for the Follow-up of Patients with New Onset Type 1 Diabetes Mellitus During COVID-19 Pandemic in Turkey: A Report of Eight Cases
title_full_unstemmed	The Value of Telemedicine for the Follow-up of Patients with New Onset Type 1 Diabetes Mellitus During COVID-19 Pandemic in Turkey: A Report of Eight Cases
title_sort	value of telemedicine for the follow-up of patients with new onset type 1 diabetes mellitus during covid-19 pandemic in turkey: a report of eight cases
publisher	Galenos Yayincilik
publishDate	2021
url	https://doaj.org/article/8ea6db80154848dd937262e2e7ba4643
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The Value of Telemedicine for the Follow-up of Patients with New Onset Type 1 Diabetes Mellitus During COVID-19 Pandemic in Turkey: A Report of Eight Cases

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