Digitization and telemedicine in diabetology

Download PDF Česká verzia

Authors: Martin Prázný
Authors place of work: 3. interní klinika – klinika endokrinologie a metabolismu 1. LF UK a VFN v Praze
Published in the journal: Čas. Lék. čes. 2021; 160: 290-295
Category: Review Article

Summary

Diabetology is currently not only ready for telemedicine, but is already actually implementing it. Many parameters are suitable for offline as well as online sharing: glycemia, glycated hemoglobin, time in range. Cloud systems enable fast processing of data collected over a longer period.

Diabetes patients are most often monitoring using an application in a smartphone. Internet connectivity then allows immediate data transfer to the central data storage (cloud) and sharing the information with family members, caregivers, or healthcare professionals. It is possible to remotely evaluate the settings of the insulin pump, bolus calculator, but also the presence of the risk of hypoglycemia.

To increase the spread of telemedicine into mainstream non-pandemic care, it is necessary to provide a simple, but robust legislative framework, address the issue of definitions of good telemedicine practice and prepare a sustainable and motivating system for its funding.

Keywords:

diabetes – Telemedicine – continuous glucose monitoring – glucose sensors

Zdroje

Friedecký B, Kratochvíla J, Springer D a kol. Diabetes mellitus – laboratorní diagnostika a sledování stavu pacientů. Česká společnost klinické biochemie ČLS JEP, Česká diabetologická společnost ČLS JEP, 29. 1. 2019. Dostupné na: www.diab.cz/dokumenty/standard_labor_2019.pdf
American Diabetes Association. 6. Glycemic targets: Standards of medical care in diabetes – 2021. Diabetes Care 2021; 44 (Suppl 1): S73–S84.
Battelino T, Danne T, Bergenstal RM et al. Clinical targets for continuous glucose monitoring data interpretation: recommendations from the international consensus on time in range. Diabetes Care 2019; 42: 1593–1603.
Škrha J, Pelikánová T, Prázný M, Kvapil M. Doporučený postup péče o diabetes mellitus 2. typu. Česká diabetologická společnost ČLS JEP, 31. 5. 2020. Dostupné na: www.diab.cz/dokumenty/standardy_DM_aktual_2020.doc
American Diabetes Association. 10. Cardiovascular disease and risk management: standards of medical care in diabetes – 2021. Diabetes Care 2021; 44 (Suppl 1): S125–S150.
American Diabetes Association. 5. Facilitating behavior change and well-being to improve health outcomes: standards of medical care in diabetes – 2021. Diabetes Care 2021; 44 (Suppl. 1): S53–S72.
Šoupal J, Petruželková L, Grunberger G et al. Glycemic outcomes in adults with T1D are impacted more by continuous glucose monitoring than by insulin delivery method: 3 years of follow-up from the COMISAIR study. Diabetes Care 2020; 43: 37–43.
Prázný M, Rušavý Z, Šumník Z a kol. Použití inzulinové pumpy a glukózových senzorů u pacientů s diabetem léčených inzulinem. DMEV 2019; 22: 152–169. Dostupné na: www.diab.cz/dokumenty/doporuceny_postup_inzulin_pumpa.pdf
Zachrison KS, Yan Z, Schwamm LH. Changes in virtual and in-person health care utilization in a large health system during the COVID-19 pandemic. JAMA Netw Open 2021; 4: e2129973.
Bressman E, Russo A, Werner RM. Trends in outpatient care and use of telemedicine after hospital discharge in a large commercially insured population. JAMA Health Forum 2021; 2: e213685.

Štítky

Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

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