The Effect of Telemedicine in Glycemic Control in Adult Patients with Diabetes during the COVID-19 Era—A Systematic Review

Author:

Sotomayor Fiorella1,Hernandez Reynier1,Malek Rana1,Parimi Nehu2,Spanakis Elias K.12

Affiliation:

1. Division of Endocrinology, Diabetes, and Nutrition, University of Maryland School of Medicine, Baltimore, MD 21201, USA

2. Division of Endocrinology, Baltimore Veterans Affairs Medical Center, Baltimore, MD 21201, USA

Abstract

Telemedicine can be an effective tool for managing chronic diseases. The disruption in traditional diabetes care resulting from the COVID-19 pandemic led to global interest in telemedicine. With this manuscript, we evaluated the use of telemedicine for the management of diabetes during the pandemic and its impact on glycemic control, focusing on retrospective and prospective studies which included adult, non-pregnant patients with diabetes. We evaluated whether there was an improvement in HbA1c, time in range (TIR), glucose management indicator (GMI), mean glucose values, hypoglycemic episodes, time below range (TBR), or hospitalizations for hypoglycemia/DKA, depending on the available information provided. This review article highlights the benefits of telemedicine during the global state of emergency, which altered the standard of healthcare delivery. Across the studies reported in this review, telemedicine was shown to be an effective tool for the management of diabetes, illustrating its potential to be the new standard of care. Although these improvements may be confounded by potential extraneous factors present during the pandemic, telemedicine was shown to positively impact glycemic control. Overall, this article highlights the benefits of telemedicine on glycemic control during the global state of emergency, which altered the standard of care. With the rollback of COVID-19 restrictions, and a return to the office, this article emphasizes the necessity to study how telemedicine can be best utilized for diabetes management when compared to the traditional standard of care.

Funder

United States (US) Department of Veterans Affairs Clinical Sciences Research and Development Service

Publisher

MDPI AG

Subject

General Medicine

Reference39 articles.

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3. Excess Mortality in COVID-19-Positive Versus COVID-19-Negative Inpatients with Diabetes: A Nationwide Study;Spanakis;Diabetes Care,2021

4. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study;Zhou;Lancet,2020

5. Clinical Characteristics of coronavirus disease 2019 in China;Guan;N. Engl. J. Med.,2020

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