دورية أكاديمية

Telemedicine and urban diabetes during COVID-19 pandemic in Milano, Italy during lock-down: epidemiological and sociodemographic picture

التفاصيل البيبلوغرافية
العنوان: Telemedicine and urban diabetes during COVID-19 pandemic in Milano, Italy during lock-down: epidemiological and sociodemographic picture
المؤلفون: Luzi L., Carruba M., Crialesi R., Da Empoli S., Dagani R., Lovati E., Nicolucci A., Berra C. C., Cipponeri E., Vaccaro K., Lenzi A.
المساهمون: L. Luzi, M. Carruba, R. Crialesi, S. Da Empoli, R. Dagani, E. Lovati, A. Nicolucci, C.C. Berra, E. Cipponeri, K. Vaccaro, A. Lenzi
بيانات النشر: Springer-Verlag Italia s.r.l.
سنة النشر: 2021
المجموعة: The University of Milan: Archivio Istituzionale della Ricerca (AIR)
مصطلحات موضوعية: COVID-19, Diabetes and obesity prevalence, Telemonitoring of blood glucose, Urban diabetes, Settore MED/13 - Endocrinologia
الوصف: Background: Since 2010, more than half of World population lives in Urban Environments. Urban Diabetes has arisen as a novel nosological entity in Medicine. Urbanization leads to the accrual of a number of factors increasing the vulnerability to diabetes mellitus and related diseases. Herein we report clinical-epidemiological data of the Milano Metropolitan Area in the contest of the Cities Changing Diabetes Program. Since the epidemiological picture was taken in January 2020, on the edge of COVID-19 outbreak in the Milano Metropolitan Area, a perspective addressing potential interactions between diabetes and obesity prevalence and COVID-19 outbreak, morbidity and mortality will be presented. To counteract lock-down isolation and, in general, social distancing a pilot study was conducted to assess the feasibility and efficacy of tele-monitoring via Flash Glucose control in a cohort of diabetic patients in ASST North Milano. Methods: Data presented derive from 1. ISTAT (National Institute of Statistics of Italy), 2. Milano ATS web site (Health Agency of Metropolitan Milano Area), which entails five ASST (Health Agencies in the Territories). A pilot study was conducted in 65 screened diabetic patients (only 40 were enrolled in the study of those 36 were affected by type 2 diabetes and 4 were affected by type 1 diabetes) of ASST North Milano utilizing Flash Glucose Monitoring for 3months (mean age 65years, HbA1c 7,9%. Patients were subdivided in 3 groups using glycemic Variability Coefficient (VC): a. High risk, VC > 36, n. 8 patients; Intermediate risk 20 < VC < 36, n. 26 patients; Low risk VC < 20, n. 4 patients. The control group was constituted by 26 diabetic patients non utilizing Flash Glucose monitoring. Results: In a total population of 3.227.264 (23% is over 65 y) there is an overall prevalence of 5.65% with a significant difference between Downtown ASST (5.31%) and peripheral ASST (ASST North Milano, 6.8%). Obesity and overweight account for a prevalence of 7.8% and 27.7%, respectively, in ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/33740123; info:eu-repo/semantics/altIdentifier/wos/WOS:000630635000001; volume:58; issue:7; firstpage:919; lastpage:927; numberofpages:9; journal:ACTA DIABETOLOGICA; http://hdl.handle.net/2434/878689Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85103159564
DOI: 10.1007/s00592-021-01700-2
الإتاحة: https://doi.org/10.1007/s00592-021-01700-2Test
http://hdl.handle.net/2434/878689Test
حقوق: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.3BFD9DF0
قاعدة البيانات: BASE