Activity
- 12 hours, 15 minutes ago
  
  Fabio Gobeth likes your comment at
  Do you keep track of where you rotate your CGM site?
  No need to track it’s pretty obvious. Switch sides each time and try to miss any visible puncture spots
- 16 hours, 46 minutes ago
  
  Rafaela likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It really depends on when I catch it and how low it is. If I see it early enough I treat it and just watch it to make sure it is recovering.
- 18 hours, 5 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 18 hours, 5 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 18 hours, 6 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 18 hours, 7 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 18 hours, 24 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It all depends on how low, where I am and what I'm doing and if I can easily eat/drink fast acting carbs to treat it. I only get anxious if it's taking a long time to bring bg level up to my target of 110 and I'm out in public.
- 18 hours, 24 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 18 hours, 24 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and what I am doing. Like today I had one at work where Dexcom said low but because I could treat and had two people with them, aware of it, I was okay.
- 18 hours, 24 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and for how long. Generally not anxious as much as sweating and foggy headed.
- 18 hours, 25 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 18 hours, 25 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually get more annoyed than anxious...It typically happens when I'm in the middle of working! I work as a private clarinet instructor so it's just me and the student and it's really difficult to string words together when I'm low.
- 18 hours, 26 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 18 hours, 26 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 18 hours, 58 minutes ago
  
  John Barbuto likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 20 hours, 20 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 20 hours, 21 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 20 hours, 21 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Two Reese's Peanut Butter cups for me 😊
- 20 hours, 21 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I don’t feel anxious when my blood sugar goes low but when it goes high, I get very worried.
- 20 hours, 39 minutes ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 20 hours, 40 minutes ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 20 hours, 41 minutes ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 20 hours, 43 minutes ago
  
  Becky Hertz likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 20 hours, 59 minutes ago
  
  Bret Itskowitch likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 21 hours ago
  
  Bret Itskowitch likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I don’t feel anxious when my blood sugar goes low but when it goes high, I get very worried.
Clear All

Adoption of Telemedicine for Type 1 Diabetes Care During the COVID-19 Pandemic

T1D Exchange, 3 years ago 0 2 min read

Lee, J, Carlson, E, Albaese- O’Neill, A, Demeterco-Berggren, C, Corathers, S, Vendrame, F, Weinstock, R, Prahalad, P, Alonso, G.T, Kamboj, M, DeSalvo, D, Malik, F, Izquierdo, R, Ebekozien, O

Background: We describe the utilization of telemedicine visits (video or telephone) across the type 1 diabetes (T1D) Exchange Quality Improvement Collaborative (T1DX-QI) during the COVID-19 pandemic. Metrics, site-level survey results, and examples of interventions conducted to support telemedicine in T1D are shown.

Materials and Methods: Thirteen clinics (11 pediatric, 2 adult) provided monthly telemedicine metrics between December 2019 and August 2020 and 21 clinics completed a survey about their telemedicine practices.

Results: The proportion of telemedicine visits in T1DX-QI before the pandemic was <1%, rising to an average of 95.2% in April 2020 (range 52.3%–99.5%). Three sites initially used mostly telephone visits before converting to video visits. By August 2020, the proportion of telemedicine visits decreased to an average of 45% across T1DX-QI (range 10%–86.6%). The majority of clinics (62%) performed both video and telephone visits; Zoom was the most popular video platform used. Over 95% of clinics reported using CareLink™, Clarity^®, Glooko™, and/or t:connect^® to view device data, with only one center reporting automated data upload into the electronic medical record. The majority of centers had multidisciplinary teams participating in the video visits. All sites reported reimbursement for video visits, and 95% of sites reported coverage for telephone visits early on in the pandemic.

Conclusions: There was rapid adoption of telemedicine in T1DX-QI during the COVID-19 pandemic. Future insurance reimbursement for telemedicine visits and the ideal ratio of telemedicine to in-person visits in T1D care remain to be determined.

Click here to read the full abstract

Tags #Journal - Diabetes Technology and Therapeutics #Remote Care & Telehealth

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