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10.3904/kjim.2020.464

http://scihub22266oqcxt.onion/10.3904/kjim.2020.464
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34092049!8273828!34092049
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suck abstract from ncbi


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pmid34092049      Korean+J+Intern+Med 2021 ; 36 (4): 942-948
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  • Impact of urgently initiated tele-prescription due to COVID-19 on glycemic control in patients with type 2 diabetes #MMPMID34092049
  • Park SD; Kim NY; Jeon JH; Kim JG; Lee IK; Park KG; Choi YK
  • Korean J Intern Med 2021[Jul]; 36 (4): 942-948 PMID34092049show ga
  • BACKGROUND/AIMS: Coronavirus disease 2019 (COVID-19) is a global pandemic that had affected more than 13,000 people in South Korea by July 2020. To prevent spread of COVID-19, tele-prescription was permitted temporarily. This study investigated the impact of tele-prescription on glycemic control in patients with type 2 diabetes. METHODS: Glycated hemoglobin (HbA1c) concentrations were retrospectively analyzed in patients with type 2 diabetes who were treated with tele-prescription because of COVID-19 and those who were treated by face-to-face care (non-tele-prescription group) enrolled at the same period of time. Mean HbA1c concentrations and mean change in HbA1c concentration (DeltaHbA1c) were compared in these two groups. RESULTS: The mean HbA1c levels of patients were significantly higher after than before the tele-prescription period (7.46% +/- 1.24% vs. 7.27% +/- 1.13%, p < 0.05). Mean DeltaHbA1c was significantly higher in the tele-prescription than in the non-tele-prescription group (0.19% +/- 0.68% vs. 0.04% +/- 0.95%, p < 0.05). HbA1c was significantly greater in patients taking fewer oral hypoglycemic agents, no insulin, fewer comorbidities (e.g., coronary artery disease, cerebrovascular accident, and diabetic neuropathy), and higher baseline HbA1c. CONCLUSION: Tele-prescription may worsen glycemic control in patients with type 2 diabetes during public health crises.
  • |*COVID-19[MESH]
  • |*Diabetes Mellitus, Type 2/diagnosis/drug therapy/epidemiology[MESH]
  • |Blood Glucose[MESH]
  • |Glycated Hemoglobin/analysis[MESH]
  • |Glycemic Control[MESH]
  • |Humans[MESH]
  • |Hypoglycemic Agents/therapeutic use[MESH]
  • |Prescriptions[MESH]
  • |Republic of Korea/epidemiology[MESH]
  • |Retrospective Studies[MESH]


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