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10.1016/j.mmm.2020.11.002

http://scihub22266oqcxt.onion/10.1016/j.mmm.2020.11.002
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suck abstract from ncbi


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pmidC7676311      ä-/-ä 2021 ; 15 (1): 24-32
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  • Prise en charge par téléconsultation des patients diabétiques dans le contexte de la pandémie de la COVID-19 : étude prospective observationnelle #MMPMIDC7676311
  • Flocard M; Meyer L; Fabacher T; Bahougne T; Ortéga F; Paris D; Munch M; Boullu-Sanchis S; Canel C; Chappaz C; Kessler L
  • ä-/-ä 2021[Feb]; 15 (1): 24-32 PMIDC7676311show ga
  • The COVID-19 pandemic has compelled the French government to impose confinement measures to stem the spread of the coronavirus. These measures may have had a potential impact on the glycemic control of diabetic patients. Within this context, telemedicine appears to be a viable option for follow-up appointments of diabetic patients. To assess this theory, we simultaneously led a prospective observational study during the novel coronavirus pandemic at Strasbourg's teaching hospital and at a private medical office to evaluate glycemic control in 491 diabetic patients either attending a telehealth appointment (n = 338) or whom in-person consultation had been postponed by 6 months (n = 153). Surveys were collected to assess both the patients? and the physicians? satisfaction. A decrease in average glycated hemoglobin (HbA1c) was observed among patients from the telehealth appointment group: ?HbA1c = ?0.33% (n = 175) as well as the other group: ?HbA1c = ?0.13% (n = 92) 3 months after the beginning of the study. Patients belonging to the telehealth appointment group at Strasbourg's teaching hospital (n = 97) experienced a decrease in their HbA1c average from 7.65 ± 1.19% to 7.18 ± 0.9%, while patients from the same group attending a private medical office (n = 78) also experienced a decrease from 7.28 ± 0.80% to 7.11 ± 0.79%. Ninety-two percent of patients were satisfied with the telehealth appointment, think it could be a virtual alternative to in-person consultation and would recommend it to other diabetic patients. Even though seven out of eight diabetologists had never offered telehealth appointments to their patients prior to the COVID-19 pandemic, all of them hope to provide such services to their patients once the health crisis is over. The tendency towards a decrease in HbA1c levels within our cohort should be qualified due to missing data caused by the disruption in data collection during the COVID-19 pandemic. Evaluation and assessment of the cohort's glycemic control 6 months after the beginning of the study could help confirm these results.
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