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Harindhanavudhi T, Areevut C, Sahakitrungruang T, Tharavanij T, Kietdumrongwong P, Ngimruksa O, Songsiri P, Pitukweerakul S, Tanathornkirati N, Kaewprasert N, Thamcharoen R, Karndumri K, Saetung S, Anthanont P, Kiattisakthavee P, Putkong S, Chotwanvirat P, Nartsupha Phattanasri C, Jinadit S, Korpaisarn S, Chusane M, Samittarucksa R, Lertrit A, Siangruangsang S, Sanpawithayakul K, Sathiravikarn W, Soisuwan S, Chevaisrakul P, Imsakul K, Thuptimtong P, Sakmanarit J, Somwang S, Prasartkaew H, Jerawatana R, Butadej S, Tachanivate P, Jongjaroenprasert W, Sripatong J, Chobtangsilp S, Kamnirdsittiseree P, Savetkairop B, Manosittisak W, Tantivatanasatien J, Hathaidechadusadee A, Reutrakul S. Implementation of Diabetes Care and Educational Program via Telemedicine in Patients with COVID-19 in Home Isolation in Thailand: A Real-World Experience. J Diabetes Investig 2022; 13:1448-1457. [PMID: 35394118 PMCID: PMC9114836 DOI: 10.1111/jdi.13804] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 03/16/2022] [Accepted: 04/05/2022] [Indexed: 01/08/2023] Open
Abstract
Background The coronavirus disease (COVID‐19) outbreak in Bangkok led to a shortage of hospital capacity, and a home isolation system was set up. We described the process of diabetes self‐management education and support (DSMES) and glycemic management via telemedicine, along with outcomes in home‐isolated patients with COVID‐19 infection. Methods A retrospective chart review of glucose values, insulin and corticosteroids use, and outcomes was performed. Results A volunteer group of 21 endocrinologists and 21 diabetes educators/nurses formed the consultation team. Patients with diabetes or at high‐risk of diabetes and receiving corticosteroids were referred by primary volunteer physicians. Glucometers and related supplies, and insulin were donated, and delivered via same‐day delivery services. A chat group of an individual patient/their caregiver, diabetes educator, endocrinologist, and primary physician was formed (majority via LINE® platform) to assess the patient's clinical status and need. Real‐time virtual DSMES sessions were performed and treatments were adjusted via smartphone application or telephone. There were 119 patients (1,398 service days), mean (SD) age 62.0 (13.6) years, 85.7% had a history of type 2 diabetes, and 84.0% received corticosteroids. Insulin was used in 88 patients; 69 of whom were insulin‐naïve. During the first 10 days, there were 2,454 glucose values. The mean glucose level on day 1 was 280.6 (122.3) mg/dL, and declined to 167.7 (43.4) mg/dL on day 10. Hypoglycemia occurred in 1.4% of the values. A majority of patients (79.5%) recovered at home. Conclusion Diabetes care and DSMES delivered via telemedicine to patients on home isolation during COVID‐19 pandemic was safe and effective.
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Affiliation(s)
- Tasma Harindhanavudhi
- University of Minnesota, 420 Delaware St S.E., MMC 101, Minneapolis, Minnesota, 55455-2020, USA
| | - Chatvara Areevut
- Faculty of Medicine Ramathibodi Hospital, 270 Rama VI Rd, Bangkok, Thailand
| | | | - Thipaporn Tharavanij
- Thammasat University hospital, 99/209 Moo 18, Paholyothin Rd, Pathum Thani, Thailand
| | - Pongtorn Kietdumrongwong
- BDMS Health Research Center, Bangkok, Dusit Medical Services, Plc., Huai Khwang, Bangkok, Thailand
| | | | - Patitta Songsiri
- Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand
| | - Siwadon Pitukweerakul
- Endocrinology Department, Marshfield Medical Center, Marshfield, Wisconsin, 54449-5703, USA
| | | | | | | | | | - Sunee Saetung
- Faculty of Medicine Ramathibodi Hospital, 270 Rama VI Rd, Bangkok, Thailand
| | - Pimjai Anthanont
- Thammasat University Hospital, 99/209 Moo 18, Paholyothin Rd, Pathum Thani, Thailand
| | | | - Sarapee Putkong
- Faculty of Medicine Ramathibodi Hospital, 270 Rama VI Rd, Bangkok, Thailand
| | | | | | - Srikorn Jinadit
- Ramkhamhaeng Hospital, 436 Ramkhamhaeng Road, Hua Mak, Bangkok, Thailand
| | - Sira Korpaisarn
- Faculty of Medicine Ramathibodi Hospital, 270 Rama VI Rd, Bangkok, Thailand
| | | | | | - Amornpan Lertrit
- Bhumirajanagarindra Kidney Institute Hospital, 8/99 Phayathai Rd, Ratchathewi, Bangkok, Thailand
| | | | | | - Waraporn Sathiravikarn
- Royal Medical Division, Bureau of the Royal Household, Chitralada Villa Royal Residence, Dusit Palace., Bangkok, Thailand
| | | | | | - Kanokporn Imsakul
- Faculty of Medicine Vajira Hospital., 681 Samsen Road, Bangkok, Thailand
| | | | | | - Supaporn Somwang
- Faculty of Medicine Ramathibodi Hospital, 270 Rama VI Rd, Bangkok, Thailand
| | | | | | - Siriwan Butadej
- Research Center, Theptarin Hospital, 3850 Rama IV road, Bangkok, Thailand
| | | | | | | | | | | | | | - Warot Manosittisak
- Warot Clinic, 1383/5 Phaholyothin R. Samsennet Phayathai, Bangkok, Thailand
| | | | | | - Sirimon Reutrakul
- University of Illinois at Chicago, 835 S. Wolcott, suite E625, Chicago, Illinois, 60612, USA
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