Date of Presentation

5-4-2023 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

Context: The COVID-19 pandemic provided a unique opportunity for urgent expansion of telemedicine services as providers continued to supply longitudinal care to patients. Patients with type II diabetes were vulnerable to serious infection with COVID-19 as well as disruption in management of their chronic disease.

Objective: To delineate the outcomes in type II diabetes patients through the COVID-19 pandemic by a retrospective chart review in which disease management was evaluated through HbA1c levels and BMI.

Methods: This retrospective chart review included adult T2DM patients receiving care from five university family medicine offices in NJ. HbA1c levels and BMI values were compared during the pre-pandemic (February 2019-February 2020) and pandemic (March 2020-May 2022) time periods. Data analysis was completed through SPSS.

Results: There was no significant difference in HbA1c levels from before the COVID-19 pandemic compared to during the pandemic, but there was a significant decrease in BMI. There was a greater shift in patients being prescribed multiple anti-diabetic oral drugs compared to insulin during the COVID-19 pandemic.

Conclusions: Despite changes in daily living and healthcare delivery, patients with T2DM were able to maintain or improve their disease status. Patients that were older, female, with a higher BMI, and of African American descent exhibited greater healthcare utilization, with variance in types of visits and associated outcomes. Moving forward, telemedicine could be a potential outlet for alleviating the global health burden associated with T2DM.

Keywords

Diabetes Mellitus, COVID-19, Pandemics, Health Care, Outcome Assessment, Telemedicine, Glycemic Control

Disciplines

Endocrine System Diseases | Endocrinology, Diabetes, and Metabolism | Family Medicine | Health Services Administration | Medicine and Health Sciences | Nutritional and Metabolic Diseases | Telemedicine | Therapeutics

Document Type

Poster

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May 4th, 12:00 AM

Outcomes in Type II Diabetes Patients through the Covid 19 Pandemic A Retrospective Chart Review

Context: The COVID-19 pandemic provided a unique opportunity for urgent expansion of telemedicine services as providers continued to supply longitudinal care to patients. Patients with type II diabetes were vulnerable to serious infection with COVID-19 as well as disruption in management of their chronic disease.

Objective: To delineate the outcomes in type II diabetes patients through the COVID-19 pandemic by a retrospective chart review in which disease management was evaluated through HbA1c levels and BMI.

Methods: This retrospective chart review included adult T2DM patients receiving care from five university family medicine offices in NJ. HbA1c levels and BMI values were compared during the pre-pandemic (February 2019-February 2020) and pandemic (March 2020-May 2022) time periods. Data analysis was completed through SPSS.

Results: There was no significant difference in HbA1c levels from before the COVID-19 pandemic compared to during the pandemic, but there was a significant decrease in BMI. There was a greater shift in patients being prescribed multiple anti-diabetic oral drugs compared to insulin during the COVID-19 pandemic.

Conclusions: Despite changes in daily living and healthcare delivery, patients with T2DM were able to maintain or improve their disease status. Patients that were older, female, with a higher BMI, and of African American descent exhibited greater healthcare utilization, with variance in types of visits and associated outcomes. Moving forward, telemedicine could be a potential outlet for alleviating the global health burden associated with T2DM.

 

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