Comparison of Glycemic Control Between In-Person and Virtual Diabetes Consults in Hospitalized Patients With Diabetes
Authors' conclusion
In-person and virtual consults delivered by a diabetes team at an academic institution were not associated with significant differences in glycemic control. These real-world data suggest that telemedicine could be used for in-patient diabetes management, although additional studies are needed to better assess clinical outcomes and safety.
Study context
- Population
- Hospitalized patients with diabetes seen by the diabetes consult service, University of Miami and Miami Veterans Affairs Healthcare System
- Exposure
- In-person vs virtual inpatient diabetes consults
- Outcome
- Patient-day-weighted blood glucose
Methodological detailstwo centres
- Two centres
Main finding
As reported in the abstract
P = 0.015
Observational data: associations, not effects.
Further findings
Percentage of patients achieving glucose target 140 to 180 mg/dL — Virtual-COVID-19-Pos vs In-person
P = 0.024
- Percentage of patients achieving glucose target 140 to 180 mg/dL: significantly less with Virtual-COVID-19-Pos; no significant difference between In-person, Virtual-All and Virtual-COVID-19-Neg
Safety
- Occurrence of hypoglycemia not significantly different among groups
Original publication
Comparison of Glycemic Control Between In-Person and Virtual Diabetes Consults in Hospitalized Patients With Diabetes. J Diabetes Sci Technol. Published 20 September 2023. doi:10. 1177/ 19322968231199470
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