Management of type 1 diabetes mellitus during the COVID-19 pandemic.
Management of type 1 diabetes mellitus during the COVID-19 pandemic.
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DOI：
10.1016/j.mjafi.2021.04.001
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发表时间：
2021-07
期刊：
影响因子：
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通讯作者：
Thoke SV
中科院分区：
文献类型：
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作者：
Muthukrishnan J;Venugopal N;Basavaraj AP;Bagga G;Jayakrishnan VY;Bharadwaj K;Thoke SV
1型糖尿病（DM）患者需要加强监测，这在2019冠状病毒病（COVID-19）限制期间受到不利影响。我们评估了2020年2月1日至2021年1月31日在我们中心的46例1型糖尿病患者（10例使用胰岛素泵）中1型糖尿病的管理以及电话咨询和随访的作用。患者每两周接受一次电话咨询。对患者和家长进行了基于网络的糖尿病教育。最后，通过患者评分评估研究期间HbA 1c的变化、重度低血糖的频率、高血糖急诊的住院率以及对治疗团队提供的护理的满意度。在3例患者中观察到5次重度低血糖发作。2例患者发生糖尿病酮症酸中毒。接受胰岛素泵治疗的患者显示平均基线HbA 1c为7.8%。这些患者中有9例（90%）在研究期间显示Hba 1c改善，而常规方案患者的改善率为64.3%。在这些患者中未观察到重度低血糖发作或因DKA住院。只有两名患者患有COVID-19疾病，表现轻微。对治疗的总体满意度很高。这项研究说明了在COVID-19大流行期间，远程咨询和视频会议在确保为1型糖尿病患者提供最佳医疗保健方面所发挥的作用。其中一些方法甚至可以在大流行之后使用，以改善患者的便利性并减轻医院的门诊负担。
Patients with type 1 diabetes mellitus (DM) require intensive monitoring, which was adversely affected during coronavirus disease 2019 (COVID-19) restrictions. We evaluated the management of type 1 DM and the role of telephonic consultation and follow-up in 46 patients (10 on insulin pump) with type 1 DM at our centre from 1 February 2020 to 31 January 2021. Patients were telephonically counselled fortnightly. Web-based diabetes education sessions for the patients and parents were conducted. Finally, change in HbA1c during the period of the study, frequency of severe hypoglycaemia, hospital admissions for hyperglycaemic emergencies and degree of satisfaction with care rendered by the treating team were assessed by ratings scored by the patients. Five episodes of severe hypoglycaemia were noted in three patients. Two patients had diabetic ketoacidosis. Patients on insulin pump showed a mean baseline HbA1c of 7.8%. Nine of these patients (90%) showed an improvement in Hba1c during the study period compared to 64.3% of patients on conventional regimen. There were no episodes of severe hypoglycaemia or hospitalization with DKA noted in these patients. Only two patients had COVID-19 disease with mild manifestations. Overall satisfaction levels with therapy were high. This study illustrates the role played by teleconsultation and video conferencing during the period of the COVID-19 pandemic in ensuring optimal healthcare delivery to patients with type 1 DM. Some of these methods can be used even after the pandemic to improve patient convenience and reduce the out-patient burden on the hospitals.