Glycemic outcomes and patient satisfaction and self-management improves in transition from standard to virtual multidisciplinary care
Authors' conclusion
Transitioning from standard to virtual, coordinated, multidisciplinary T1DM care is associated with increased visit frequency, improving glycemic control, treatment satisfaction and self-care behaviors.
Study context
- Population
- Adults with T1D transitioning from standard to virtual care; mean age 40.2 ± 13.5 years, diabetes duration 16.9 ± 9.0 years; most on insulin pumps and CGM
- Participants
- 61 adults
- Comparison
- Virtual multidisciplinary T1D care vs prior standard care
- Outcome
- HbA1c
- Follow-up
- 6 and 12 months
Main finding
As reported in the abstract
HbA1c at baseline
7.9 ± 1.6 %
63 ± 16.9 mmol/mol
HbA1c at 6 months
7.3 ± 1.1 %(56 ± 8.5 mmol/mol); p < 0.001 vs baseline
HbA1c at 12 months
7.1 ± 1.0 %(54 ± 7.7 mmol/mol); p < 0.001 vs baseline
Further findings
TIR · 6 and 12 months
- TIR at baseline
- 63.1 ± 19.3 %
- TIR at 6 months
- 69.2 ± 13.8 %; p < 0.001
- TIR at 12 months
- 67.5 ± 19.4 %; p = 0.03
- TBR declined
Annual diabetes care encounters
- Encounters per year, before vs after
- 2.1 ± 4.2 to 12.8 ± 5.5
Treatment satisfaction and self-management questionnaires
- Scores rose significantly; rises associated with HbA1c reduction; self-management score also associated with increased TIR
- Trend toward correlation between encounter frequency and improvement in HbA1c and TIR
Original publication
Glycemic outcomes and patient satisfaction and self-management improves in transition from standard to virtual multidisciplinary care. Diabetes Res Clin Pract. Published 17 February 2024. doi:10.
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