Impact of urgently initiated tele-prescription due to COVID-19 on glycemic control in patients with type 2 diabetesopen access
- Authors
- Park, Sung Don; Kim, Na-Young; Jeon, Jae-Han; Kim, Jung-Guk; Lee, In-Kyu; Park, Keun-Gyu; Choi, Yeon-Kyung
- Issue Date
- Jul-2021
- Publisher
- KOREAN ASSOC INTERNAL MEDICINE
- Keywords
- COVID-19; Tele-prescription; Glycated hemoglobin A1c; Diabetes mellitus; type 2
- Citation
- KOREAN JOURNAL OF INTERNAL MEDICINE, v.36, no.4, pp.942 - +
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- KOREAN JOURNAL OF INTERNAL MEDICINE
- Volume
- 36
- Number
- 4
- Start Page
- 942
- End Page
- +
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/189694
- DOI
- 10.3904/kjim.2020.464
- ISSN
- 1226-3303
- Abstract
- Background/Aims: Coronavirus disease 2019 (COVID-19) is a global pandemic that had affected more than 13,000 people in South Korea by July 2020. To prevent spread of COVID-19, tele-prescription was permitted temporarily. This study investigated the impact of tele-prescription on glycemic control in patients with type 2 diabetes.
Methods: Glycated hemoglobin (HbA1c) concentrations were retrospectively analyzed in patients with type 2 diabetes who were treated with tele-prescription because of COVID-19 and those who were treated by face-to-face care (non-tele-prescription group) enrolled at the same period of time. Mean HbA1c concentrations and mean change in HbA1c concentration (Delta HbA1c) were compared in these two groups.
Results: The mean HbA1c levels of patients were significantly higher after than before the tele-prescription period (7.46% +/- 1.24% vs. 7.27% +/- 1.13%, p < 0.05). Mean Delta HbA1c was significantly higher in the tele-prescription than in the non-tele-prescription group (0.19% +/- 0.68% vs. 0.04% +/- 0.95%, p < 0.05). HbA1c was significantly greater in patients taking fewer oral hypoglycemic agents, no insulin, fewer comorbidities (e.g., coronary artery disease, cerebrovascular accident, and diabetic neuropathy), and higher baseline HbA1c.
Conclusions: Tele-prescription may worsen glycemic control in patients with type 2 diabetes during public health crises.
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