Impact of Telemedicine Versus In-Person Pediatric Outpatient Type 1 Diabetes Visits on Immediate Glycemic Control: Retrospective Chart Review

Our findings demonstrate an immediate improvement in CGM metrics following outpatient visits, regardless of modality. While statistically significant, the magnitude of these changes was small; hence, multiple visits over time would be required to achieve clinically relevant improvement. However, completion of screening laboratory tests was found to be more likely after visits occurring in person. Therefore, we suggest a hybrid approach that allows patient convenience with telemedicine but also incorporates periodic in-person assessment.

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Publication Details

Journal
JMIR Diabetes
Published
2024-08-19
DOI
https://doi.org/10.2196/58579
Primary Topic
Diabetes Management and Research
Type
article
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article

Impact of Telemedicine Versus In-Person Pediatric Outpatient Type 1 Diabetes Visits on Immediate Glycemic Control: Retrospective Chart Review

C Ferber, Steven D. Mittelman, Holly Wilhalme, Rebecca Hicks et al.
JMIR Diabetes
Diabetes Management and Research
article

Impact of Telemedicine Versus In-Person Pediatric Outpatient Type 1 Diabetes Visits on Immediate Glycemic Control: Retrospective Chart Review

C Ferber, Steven D. Mittelman, Holly Wilhalme, Rebecca Hicks, Tannaz Moin
article en

Abstract

Our findings demonstrate an immediate improvement in CGM metrics following outpatient visits, regardless of modality. While statistically significant, the magnitude of these changes was small; hence, multiple visits over time would be required to achieve clinically relevant improvement. However, completion of screening laboratory tests was found to be more likely after visits occurring in person. Therefore, we suggest a hybrid approach that allows patient convenience with telemedicine but also incorporates periodic in-person assessment.

JMIR DiabetesVol. 9
Los Angeles County Department of Health Services (US), University of California, Los Angeles (US), Los Angeles Medical Center (US), Miller Children's & Women's Hospital (US), Mattel Children's Hospital (US), Center for the Study of Healthcare Provider Behavior (US), VA Greater Los Angeles Healthcare System (US)
Good health and well-being
Openalex Percentile: Top 79%
Diabetes Management and Research
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Impact of Telemedicine Versus In-Person Pediatric Outpatient Type 1 Diabetes Visits on Immediate Glycemic Control: Retrospective Chart Review — C Ferber, Steven D. Mittelman, et al. · JMIR Diabetes (2024) | TGRS Research Map | TGRS