1
|
Kesavadev J, Saboo B, Kovil R, Joshi S, Shankar A, Ashik A, Ashok AD, Basanth A, Krishnan G. Insulin degludec/insulin aspart safely improves HbA1c: A long-term real-world cohort study (IDEA). Diabetes Obes Metab 2023; 25:306-309. [PMID: 35986629 DOI: 10.1111/dom.14847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 07/17/2022] [Accepted: 08/04/2022] [Indexed: 12/14/2022]
Affiliation(s)
- Jothydev Kesavadev
- Department of Diabetes, Jothydev's Diabetes Research Centre, Trivandrum, India
| | - Banshi Saboo
- Department of Diabetology, Diacare- Diabetes & Hormone Clinic, Ahmedabad, India
| | - Rajiv Kovil
- Dr. Kovil's Diabetes Care Centre, Mumbai, India
| | | | - Arun Shankar
- Department of Diabetes, Jothydev's Diabetes Research Centre, Trivandrum, India
| | - Asha Ashik
- Department of Diabetes, Jothydev's Diabetes Research Centre, Kochi, India
| | - Ashwin David Ashok
- Departmentof Diabetes, Jothydev's Diabetes Research Centre, Attingal, India
| | | | | |
Collapse
|
2
|
Kesavadev J, Basanth A, Krishnan G, Vitale R, Parameswaran H, Shijin S, R S, Raj S, Ashik A, Shankar A, Badarudeen S, Raveendran AV, Rajalakshmy I, Sanal G, Manoj A, Jose R, Unes Y, Jothydev S. A new interventional home care model for COVID management: Virtual Covid IP. Diabetes Metab Syndr 2021; 15:102228. [PMID: 34330071 PMCID: PMC8299213 DOI: 10.1016/j.dsx.2021.102228] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Revised: 07/17/2021] [Accepted: 07/19/2021] [Indexed: 02/09/2023]
Abstract
AIM Amidst COVID-19 pandemic, the health care delivery in India faces major challenges owing to the overwhelming hospitals, exhausted healthcare workers, and shortage of crucial medical supplies such as ventilators and oxygen. The study aims to propose a novel successful interventional home care model, the Virtual COVID In-Patient (VCIP) care for effective COVID management. METHODS The Covid-19 positive patients enrolled in VCIP were chosen for the study. A 24/7 active multidisciplinary WhatsApp group was created for each patient, for remote monitoring of temperature, blood pressure, blood glucose, respiratory and pulse rate along with the symptoms. Advice on sleep and exercises were given along with the medication via video-audio consultations. Lab facility was provided at the doorstep. Training on various devices, medications including steroids, delivering subcutaneous injections etc were given via video platforms. RESULTS Among the 220 patients who availed the VCIP facility, only two were hospitalized, yielding a 99.5 % success rate in preventing hospitalizations and patients enrolled have been immensely satisfied with their experience. CONCLUSIONS With similar pandemics anticipated in near future, VCIP model may be considered for successful domiciliary treatment and overcoming the challenges.
Collapse
Affiliation(s)
- Jothydev Kesavadev
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.
| | - Anjana Basanth
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Gopika Krishnan
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Rebecca Vitale
- Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA
| | - Hari Parameswaran
- Department of Hematology Oncology, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Sajna Shijin
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Sreelakshmi R
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Sumesh Raj
- Department of Internal Medicine, Sree Gokulam Medical College, Trivandrum, India
| | - Asha Ashik
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Arun Shankar
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Sameer Badarudeen
- Department of Orthopedic Surgery and Sports Medicine, University of Kentucky, USA
| | - A V Raveendran
- Department of Internal Medicine, Badr Al Samaa, Barka, Oman
| | - Indu Rajalakshmy
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Geethu Sanal
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Akhila Manoj
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Remya Jose
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Yaseen Unes
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| | - Sunitha Jothydev
- Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India
| |
Collapse
|