Virtual training on the hybrid close loop system in people with type 1 diabetes (T1D) during the COVID-19 pandemic
| العنوان: | Virtual training on the hybrid close loop system in people with type 1 diabetes (T1D) during the COVID-19 pandemic |
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| المؤلفون: | Darío Parra, Oscar Muñoz, Diana Henao, Marisol Vergara Pinilla, Martín Rondón, Alfonso Kerguelen, Ana María Gómez |
| المصدر: | Diabetes & Metabolic Syndrome: Clinical Research & Reviews Diabetes & Metabolic Syndrome |
| بيانات النشر: | Elsevier BV, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, TIR, Time in range, Endocrinology, Diabetes and Metabolism, MDI, Multiple Doses of Insulin, Multiple dosing, Cohort Studies, SH, severe hypoglycemia, 0302 clinical medicine, Medicine, Prospective Studies, 030212 general & internal medicine, Zoom, Prospective cohort study, TBR, Time below the range, SAP, Sensor-augmented pump therapy, Sensor-augmented pump therapy (SAPT), General Medicine, Middle Aged, Telemedicine, T1D, Type 1 Diabetes, HCL, Hybrid Closed Loop, Type 1 diabetes, TAR, Time above the range, HU, hypoglycemia unawareness, CV%, coefficient of variation, Female, Cohort study, Adult, medicine.medical_specialty, Adolescent, Coronavirus disease 2019 (COVID-19), A1c, glycosylated hemoglobin, 030209 endocrinology & metabolism, Colombia, Article, Automated insulin delivery system (AID), Young Adult, 03 medical and health sciences, Insulin Infusion Systems, Physical medicine and rehabilitation, Patient Education as Topic, Internal Medicine, Humans, Hypoglycemic Agents, Virtual training, GMI, Glucose management indicator, CGM, continuous glucose monitoring, Aged, Glycemic, business.industry, Blood Glucose Self-Monitoring, COVID-19, IQR, Interquartile range, medicine.disease, Diabetes Mellitus, Type 1, PLGM, Predictive low-glucose management, Time in range, AID, Automated insulin delivery system, business, Hybrid closed loop (HCL), Follow-Up Studies |
| الوصف: | Background and aims In Colombia, the government established mandatory isolation after the first case of COVID-19 was reported. As a diabetes care center specialized in technology, we developed a virtual training program for patients with type 1 diabetes (T1D) who were upgrading to hybrid closed loop (HCL) system. The aim of this study is to describe the efficacy and safety outcomes of the virtual training program. Method ology: A prospective observational cohort study was performed, including patients with diagnosis of T1D previously treated with multiple doses of insulin (MDI) or sensor augmented pump therapy (SAP) who were updating to HCL system, from March to July 2020. Virtual training and follow-up were done through the Zoom video conferencing application and Medtronic Carelink System version 3.1 software. CGM data were analyzed to compare the time in range (TIR), time below range (TBR) and glycemic variability, during the first two weeks corresponding to manual mode with the final two weeks of follow-up in automatic mode. Results 91 patients were included. Mean TIR achieved with manual mode was 77.3 ± 11.3, increasing to 81.6% ± 7.6 (p Highlights • Hybrid closed-loop (HCL) systems allows type 1 diabetes (T1D) patients to improve Time in Range (TIR). • HCL training has been delivered in person. However, during COVID-19 pandemic we had to switch to a virtual modality. • Subjects with virtual training had an increase in TIR regardless of initial therapy after two weeks of automatic use. • This is the largest prospective non-sponsored study including adults treated with HCL trained through a virtual platform. |
| تدمد: | 1871-4021 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7f5881bb55526593b3ea173a4a4b845eTest https://doi.org/10.1016/j.dsx.2020.12.041Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7f5881bb55526593b3ea173a4a4b845e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18714021 |
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