149-LB: Telemedicine Intervention Impact on Diabetes Self-Management—Twelve-Month Virtual Diabetes Specialty Clinic (VDISC) Study Outcomes
The impact of a telemedicine model for a virtual diabetes clinic was assessed 6 months following completion of a 6-month intervention of education and support for diabetes self-management, including initiation and use of CGM. One hundred and sixty-one participants ≥18 years old with T1D (N=109) or T...
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| Veröffentlicht in: | Diabetes (New York, N.Y.) N.Y.), 2023-06, Vol.72 (Supplement_1), p.1 |
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| container_issue | Supplement_1 |
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| container_title | Diabetes (New York, N.Y.) |
| container_volume | 72 |
| creator | GAL, ROBIN L. RAGHINARU, DAN ALEPPO, GRAZIA OLSON, BETH A. KRUGER, DAVIDA F. BERGENSTAL, RICHARD M. WEINSTOCK, RUTH S. BRADSHAW, AMY MCARTHUR, TERESA S. OSER, SEAN OSER, TAMARA HOOD, KOREY K. CUSHMAN, TERRA L. JOHNSON, MARY L. KOLLMAN, CRAIG BECK, ROY |
| description | The impact of a telemedicine model for a virtual diabetes clinic was assessed 6 months following completion of a 6-month intervention of education and support for diabetes self-management, including initiation and use of CGM. One hundred and sixty-one participants ≥18 years old with T1D (N=109) or T2D (N=52) using MDI/pump participated in the 12-month study. At the end of the 6-month intervention period, mean HbA1c decreased from 7.6% at baseline to 7.0% in T1D and from 8.1% to 7.0% in T2D (P |
| doi_str_mv | 10.2337/db23-149-LB |
| format | Article |
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One hundred and sixty-one participants ≥18 years old with T1D (N=109) or T2D (N=52) using MDI/pump participated in the 12-month study. At the end of the 6-month intervention period, mean HbA1c decreased from 7.6% at baseline to 7.0% in T1D and from 8.1% to 7.0% in T2D (P<0.001). At 12 months (6 months after discontinuation of the intervention), mean HbA1c was 7.0% for T1D and 7.2% for T2D (P<0.001 compared with baseline). Mean time in range 70-180 mg/dL was 51% at baseline, increasing to 62% at 6 months (P<0.001) and 64% at 12 months in T1D (P<0.001) and from 49% to 66% (P<0.001) and 68% (P<0.001), respectively, in T2D. Similar improvements were observed for mean glucose and hyperglycemia metrics. A sustained reduction in hypoglycemia also was observed. The virtual diabetes clinic intervention was successful in promoting improved glycemic outcomes, which were sustained 6 months after the intervention was completed. These findings demonstrate the impact that virtual care and education can have on self-management over time and provide opportunity to expand care models that could minimize barriers to specialty care access.]]></description><identifier>ISSN: 0012-1797</identifier><identifier>EISSN: 1939-327X</identifier><identifier>DOI: 10.2337/db23-149-LB</identifier><language>eng</language><publisher>New York: American Diabetes Association</publisher><subject>Diabetes ; Diabetes mellitus ; Hyperglycemia ; Hypoglycemia ; Telemedicine</subject><ispartof>Diabetes (New York, N.Y.), 2023-06, Vol.72 (Supplement_1), p.1</ispartof><rights>Copyright American Diabetes Association Jun 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>GAL, ROBIN L.</creatorcontrib><creatorcontrib>RAGHINARU, DAN</creatorcontrib><creatorcontrib>ALEPPO, GRAZIA</creatorcontrib><creatorcontrib>OLSON, BETH A.</creatorcontrib><creatorcontrib>KRUGER, DAVIDA F.</creatorcontrib><creatorcontrib>BERGENSTAL, RICHARD M.</creatorcontrib><creatorcontrib>WEINSTOCK, RUTH S.</creatorcontrib><creatorcontrib>BRADSHAW, AMY</creatorcontrib><creatorcontrib>MCARTHUR, TERESA S.</creatorcontrib><creatorcontrib>OSER, SEAN</creatorcontrib><creatorcontrib>OSER, TAMARA</creatorcontrib><creatorcontrib>HOOD, KOREY K.</creatorcontrib><creatorcontrib>CUSHMAN, TERRA L.</creatorcontrib><creatorcontrib>JOHNSON, MARY L.</creatorcontrib><creatorcontrib>KOLLMAN, CRAIG</creatorcontrib><creatorcontrib>BECK, ROY</creatorcontrib><title>149-LB: Telemedicine Intervention Impact on Diabetes Self-Management—Twelve-Month Virtual Diabetes Specialty Clinic (VDISC) Study Outcomes</title><title>Diabetes (New York, N.Y.)</title><description><![CDATA[The impact of a telemedicine model for a virtual diabetes clinic was assessed 6 months following completion of a 6-month intervention of education and support for diabetes self-management, including initiation and use of CGM. One hundred and sixty-one participants ≥18 years old with T1D (N=109) or T2D (N=52) using MDI/pump participated in the 12-month study. At the end of the 6-month intervention period, mean HbA1c decreased from 7.6% at baseline to 7.0% in T1D and from 8.1% to 7.0% in T2D (P<0.001). At 12 months (6 months after discontinuation of the intervention), mean HbA1c was 7.0% for T1D and 7.2% for T2D (P<0.001 compared with baseline). Mean time in range 70-180 mg/dL was 51% at baseline, increasing to 62% at 6 months (P<0.001) and 64% at 12 months in T1D (P<0.001) and from 49% to 66% (P<0.001) and 68% (P<0.001), respectively, in T2D. Similar improvements were observed for mean glucose and hyperglycemia metrics. A sustained reduction in hypoglycemia also was observed. The virtual diabetes clinic intervention was successful in promoting improved glycemic outcomes, which were sustained 6 months after the intervention was completed. These findings demonstrate the impact that virtual care and education can have on self-management over time and provide opportunity to expand care models that could minimize barriers to specialty care access.]]></description><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Hyperglycemia</subject><subject>Hypoglycemia</subject><subject>Telemedicine</subject><issn>0012-1797</issn><issn>1939-327X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpNkL1OwzAURi0EEqUw8QKWWEDI4NhuErPRlp9KrTo0qtgix7kGV4lTEqeoGw_AyBPyJKQqA7rDvcO53ycdhM4DesM4j27zjHESCEmmwwPUCySXhLPo5RD1KA0YCSIZHaOTpllRSsNueuhrT9_hBAooIbfaOsAT56HegPO2cnhSrpX2uLvGVmXgocELKAyZKadeux_nfz6_kw8oNkBmlfNveGlr36riH78GbVXht3hUWGc1vlyOJ4vRFV74Nt_ieet1VUJzio6MKho4-9t9lDw-JKNnMp0_TUb3U6JDIYjhecR0bsJc6dAMjIgzHuVGcG1YLDmlQoUZAx2ziPMwCwdcGhODNEpArDPJ--hiH7uuq_cWGp-uqrZ2XWPKYiF5Z2YgOup6T-m6apoaTLqubanqbRrQdGc73dlOO3_pdMh_AT-idGU</recordid><startdate>20230620</startdate><enddate>20230620</enddate><creator>GAL, ROBIN L.</creator><creator>RAGHINARU, DAN</creator><creator>ALEPPO, GRAZIA</creator><creator>OLSON, BETH A.</creator><creator>KRUGER, DAVIDA F.</creator><creator>BERGENSTAL, RICHARD M.</creator><creator>WEINSTOCK, RUTH S.</creator><creator>BRADSHAW, AMY</creator><creator>MCARTHUR, TERESA S.</creator><creator>OSER, SEAN</creator><creator>OSER, TAMARA</creator><creator>HOOD, KOREY K.</creator><creator>CUSHMAN, TERRA L.</creator><creator>JOHNSON, MARY L.</creator><creator>KOLLMAN, CRAIG</creator><creator>BECK, ROY</creator><general>American Diabetes Association</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20230620</creationdate><title>149-LB: Telemedicine Intervention Impact on Diabetes Self-Management—Twelve-Month Virtual Diabetes Specialty Clinic (VDISC) Study Outcomes</title><author>GAL, ROBIN L. ; RAGHINARU, DAN ; ALEPPO, GRAZIA ; OLSON, BETH A. ; KRUGER, DAVIDA F. ; BERGENSTAL, RICHARD M. ; WEINSTOCK, RUTH S. ; BRADSHAW, AMY ; MCARTHUR, TERESA S. ; OSER, SEAN ; OSER, TAMARA ; HOOD, KOREY K. ; CUSHMAN, TERRA L. ; JOHNSON, MARY L. ; KOLLMAN, CRAIG ; BECK, ROY</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c644-f3d72cdf6dac6f5f48b37df43cf2893004a6b2ec827336b6539ff8e9fa4e8cb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Hyperglycemia</topic><topic>Hypoglycemia</topic><topic>Telemedicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GAL, ROBIN L.</creatorcontrib><creatorcontrib>RAGHINARU, DAN</creatorcontrib><creatorcontrib>ALEPPO, GRAZIA</creatorcontrib><creatorcontrib>OLSON, BETH A.</creatorcontrib><creatorcontrib>KRUGER, DAVIDA F.</creatorcontrib><creatorcontrib>BERGENSTAL, RICHARD M.</creatorcontrib><creatorcontrib>WEINSTOCK, RUTH S.</creatorcontrib><creatorcontrib>BRADSHAW, AMY</creatorcontrib><creatorcontrib>MCARTHUR, TERESA S.</creatorcontrib><creatorcontrib>OSER, SEAN</creatorcontrib><creatorcontrib>OSER, TAMARA</creatorcontrib><creatorcontrib>HOOD, KOREY K.</creatorcontrib><creatorcontrib>CUSHMAN, TERRA L.</creatorcontrib><creatorcontrib>JOHNSON, MARY L.</creatorcontrib><creatorcontrib>KOLLMAN, CRAIG</creatorcontrib><creatorcontrib>BECK, ROY</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Diabetes (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GAL, ROBIN L.</au><au>RAGHINARU, DAN</au><au>ALEPPO, GRAZIA</au><au>OLSON, BETH A.</au><au>KRUGER, DAVIDA F.</au><au>BERGENSTAL, RICHARD M.</au><au>WEINSTOCK, RUTH S.</au><au>BRADSHAW, AMY</au><au>MCARTHUR, TERESA S.</au><au>OSER, SEAN</au><au>OSER, TAMARA</au><au>HOOD, KOREY K.</au><au>CUSHMAN, TERRA L.</au><au>JOHNSON, MARY L.</au><au>KOLLMAN, CRAIG</au><au>BECK, ROY</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>149-LB: Telemedicine Intervention Impact on Diabetes Self-Management—Twelve-Month Virtual Diabetes Specialty Clinic (VDISC) Study Outcomes</atitle><jtitle>Diabetes (New York, N.Y.)</jtitle><date>2023-06-20</date><risdate>2023</risdate><volume>72</volume><issue>Supplement_1</issue><spage>1</spage><pages>1-</pages><issn>0012-1797</issn><eissn>1939-327X</eissn><abstract><![CDATA[The impact of a telemedicine model for a virtual diabetes clinic was assessed 6 months following completion of a 6-month intervention of education and support for diabetes self-management, including initiation and use of CGM. One hundred and sixty-one participants ≥18 years old with T1D (N=109) or T2D (N=52) using MDI/pump participated in the 12-month study. At the end of the 6-month intervention period, mean HbA1c decreased from 7.6% at baseline to 7.0% in T1D and from 8.1% to 7.0% in T2D (P<0.001). At 12 months (6 months after discontinuation of the intervention), mean HbA1c was 7.0% for T1D and 7.2% for T2D (P<0.001 compared with baseline). Mean time in range 70-180 mg/dL was 51% at baseline, increasing to 62% at 6 months (P<0.001) and 64% at 12 months in T1D (P<0.001) and from 49% to 66% (P<0.001) and 68% (P<0.001), respectively, in T2D. Similar improvements were observed for mean glucose and hyperglycemia metrics. A sustained reduction in hypoglycemia also was observed. The virtual diabetes clinic intervention was successful in promoting improved glycemic outcomes, which were sustained 6 months after the intervention was completed. These findings demonstrate the impact that virtual care and education can have on self-management over time and provide opportunity to expand care models that could minimize barriers to specialty care access.]]></abstract><cop>New York</cop><pub>American Diabetes Association</pub><doi>10.2337/db23-149-LB</doi></addata></record> |
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| identifier | ISSN: 0012-1797 |
| ispartof | Diabetes (New York, N.Y.), 2023-06, Vol.72 (Supplement_1), p.1 |
| issn | 0012-1797 1939-327X |
| language | eng |
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| source | EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Diabetes Diabetes mellitus Hyperglycemia Hypoglycemia Telemedicine |
| title | 149-LB: Telemedicine Intervention Impact on Diabetes Self-Management—Twelve-Month Virtual Diabetes Specialty Clinic (VDISC) Study Outcomes |
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