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Telemedicine for type 2 diabetes during COVID-19 pandemic: experience from a tertiary diabetes center.
Angelino, Silvia; Caruso, Paola; Longo, Miriam; Barrasso, Mariluce; Castaldo, Filomena; Pontillo, Alessandro; Arena, Stefania; Palmieri, Annarita; Bellastella, Giuseppe; Maiorino, Maria I; Esposito, Katherine.
Afiliación
  • Angelino S; PhD Program in Traslational Medicine, Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Caruso P; Unit of Endocrinology and Metabolic Diseases, University of Campania "Luigi Vanvitelli", Naples, Italy - paola.caruso@unicampania.it.
  • Longo M; Unit of Endocrinology and Metabolic Diseases, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Barrasso M; Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Castaldo F; Unit of Endocrinology and Metabolic Diseases, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Pontillo A; Unit of Endocrinology and Metabolic Diseases, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Arena S; Unit of Endocrinology and Metabolic Diseases, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Palmieri A; PhD Program in Traslational Medicine, Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Bellastella G; PhD Program in Traslational Medicine, Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Maiorino MI; Unit of Endocrinology and Metabolic Diseases, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Esposito K; Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Article en En | MEDLINE | ID: mdl-38287789
ABSTRACT

BACKGROUND:

Telemedicine was largely employed during COVID-19 pandemic to guarantee continuity of care in a period of dramatic reduction of face-to-face visits. The aim of this study was to describe the clinical characteristics of a cohort of patients with type 2 diabetes followed by tele-visits and to evaluate the changes in the glyco-metabolic control during a 12-month follow-up.

METHODS:

This retrospective observational study included 136 adults aged >18 years with at least three tele-visits over a 12-month follow-up period, in a Diabetes Center of the Southern Italy, from April 2020 to March 2022. Data related to glycemic and lipid profile, therapy, presence of micro or macrovascular complications, and other clinical features were extracted at three time points, at first visit (T0), after 6 months (T1) and after 12 months (T2).

RESULTS:

Mean diabetes duration and median HbA1c values were 11.6 years and 7.0%, respectively. Thirty-eight participants (27.9%) presented macro- or microvascular complications. Glycemic control remained stable over time, without clinically significant changes of HbA1c (T0 vs. T1 vs. T2, median [IQR], 7.0 [6.2-7.3], 6.6 [6.0-7.5], 6.9 [6.2-7.5], P=0.095) and fasting glucose. Lipid profile slightly improved, although without significant clinical change. Glucose lowering therapy was modified in 84 patients (61.8%) and remained unchanged in 52 patients (38.2%) during the follow-up. No participant in the study developed any complications during the 12-month follow-up.

CONCLUSIONS:

People with type 2 diabetes followed by telemedicine were adults with fair glucose control generally free from chronic complications, whose diabetes control did not worsen during a 12-month follow-up.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Minerva Endocrinol (Torino) Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Minerva Endocrinol (Torino) Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia