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Article ; Online: Effectiveness of diabetes education including insulin injection technique and dose adjustment through telemedicine in hospitalized patients with COVID-19.

Mishra, Mitali / Bano, Tarannum / Mishra, Sunil Kumar / Wasir, Jasjeet Singh / Kohli, Chhavi / Kalra, Sonal / Choudhary, Poonam / Kuchay, Mohammad Shafi

Diabetes & metabolic syndrome

2021  Volume 15, Issue 4, Page(s) 102174

Abstract: ... diabetes education including insulin injection technique was given by a diabetes educator via a phone call ... Aims: To study the feasibility of diabetes education through telemedicine in patients ... with diabetes mellitus (DM) hospitalized for coronavirus disease 2019 (COVID-19) management.: Methods: This was ...

Abstract Aims: To study the feasibility of diabetes education through telemedicine in patients with diabetes mellitus (DM) hospitalized for coronavirus disease 2019 (COVID-19) management.
Methods: This was a prospective study of 100 patients with DM who were admitted in a COVID isolation ward for management of COVID-19. Patients managed with multiple subcutaneous insulin injections were eligible. During teleconsultation, diabetes education including insulin injection technique was given by a diabetes educator via a phone call (audio and video) during hospitalization. They were also re-assessed after 2 weeks of discharge from the hospital via teleconsultation or in-person.
Results: Out of 100 patients, 72.0% had prior history of diabetes while 28.0% were newly diagnosed. The median age of our cohort was 56 years and median duration of diabetes was 7.0 years. Telemedicine as a mode of consult for diabetes education was accepted by 96.0% of patients during hospitalization. At 2 weeks' follow-up, 77.0% patients were following insulin instructions correctly and were satisfied with this mode of consultation.
Conclusion: Diabetes education using telemedicine as a technology is feasible, acceptable, and effective in the management of most patients with DM. Telemedicine appears to be an effective way to replace routine visits in special situations.
MeSH term(s) Adult ; Aged ; Aged, 80 and over ; COVID-19/complications ; COVID-19/transmission ; COVID-19/virology ; Diabetes Mellitus/drug therapy ; Diabetes Mellitus/epidemiology ; Diabetes Mellitus/pathology ; Diabetes Mellitus/virology ; Dose-Response Relationship, Drug ; Female ; Hospitalization/statistics & numerical data ; Humans ; Hypoglycemic Agents/administration & dosage ; India/epidemiology ; Insulin/administration & dosage ; Male ; Middle Aged ; Prospective Studies ; Remote Consultation/methods ; SARS-CoV-2/isolation & purification
Chemical Substances Hypoglycemic Agents ; Insulin
Language English
Publishing date 2021-06-12
Publishing country Netherlands
Document type Journal Article
ZDB-ID 2273766-2
ISSN 1878-0334 ; 1871-4021
ISSN (online) 1878-0334
ISSN 1871-4021
DOI 10.1016/j.dsx.2021.06.011
Database MEDical Literature Analysis and Retrieval System OnLINE

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