Implementation of diabetes care and educational program via telemedicine in patients with COVID-19 in home isolation in Thailand: A real-worldexperience

Tasma Harindhanavudhi; Chatvara Areevut; Taninee Sahakitrungruang; Thipaporn Tharavanij; Pongtorn Kietdumrongwong; Orasa Ngimruksa; Patitta Songsiri; Siwadon Pitukweerakul; Nattamon Tanathornkirati; Natthapon Kaewprasert; Ruchirek Thamcharoen; Krittadhee Karndumri; Sunee Saetung; Pimjai Anthanont; Pornpimol Kiattisakthavee; Sarapee Putkong; Phawinpon Chotwanvirat; Chorthip Nartsupha Phattanasri; Srikorn Jinadit; Sira Korpaisarn; Manusvinee Chusane; Rattanapan Samittarucksa; Amornpan Lertrit; Sanguansak Siangruangsang; Kanokporn Sanpawithayakul; Waraporn Sathiravikarn; Sataporn Soisuwan; Parawee Chevaisrakul; Kanokporn Imsakul; Pinradakarn Thuptimtong; Jandanee Sakmanarit; Supaporn Somwang; Hussamon Prasartkaew; Ratanaporn Jerawatana; Siriwan Butadej; Porntip Tachanivate; Wallaya Jongjaroenprasert; Jeeraphan Sripatong; Sunanta Chobtangsilp; Pattraphorn Kamnirdsittiseree; Benjaporn Savetkairop; Warot Manosittisak; Jitra Tantivatanasatien; Amornrat Hathaidechadusadee; Sirimon Reutrakul

doi:10.1111/jdi.13804

Implementation of diabetes care and educational program via telemedicine in patients with COVID-19 in home isolation in Thailand: A real-worldexperience

Tasma Harindhanavudhi, Chatvara Areevut, Taninee Sahakitrungruang, Thipaporn Tharavanij, Pongtorn Kietdumrongwong, Orasa Ngimruksa, Patitta Songsiri, Siwadon Pitukweerakul, Nattamon Tanathornkirati, Natthapon Kaewprasert, Ruchirek Thamcharoen, Krittadhee Karndumri, Sunee Saetung, Pimjai Anthanont, Pornpimol Kiattisakthavee, Sarapee Putkong, Phawinpon Chotwanvirat, Chorthip Nartsupha Phattanasri, Srikorn Jinadit, Sira KorpaisarnManusvinee Chusane, Rattanapan Samittarucksa, Amornpan Lertrit, Sanguansak Siangruangsang, Kanokporn Sanpawithayakul, Waraporn Sathiravikarn, Sataporn Soisuwan, Parawee Chevaisrakul, Kanokporn Imsakul, Pinradakarn Thuptimtong, Jandanee Sakmanarit, Supaporn Somwang, Hussamon Prasartkaew, Ratanaporn Jerawatana, Siriwan Butadej, Porntip Tachanivate, Wallaya Jongjaroenprasert, Jeeraphan Sripatong, Sunanta Chobtangsilp, Pattraphorn Kamnirdsittiseree, Benjaporn Savetkairop, Warot Manosittisak, Jitra Tantivatanasatien, Amornrat Hathaidechadusadee, Sirimon Reutrakul

Medicine - Endocrine and Diabetes Division

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Background: The coronavirus disease (COVID-19) outbreak in Bangkok led to a shortage of hospital capacity, and a home isolation system was set up. We described the process of diabetes self-management education and support (DSMES) and glycemic management via telemedicine, along with outcomes in home-isolated patients with COVID-19 infection. Methods: A retrospective chart review of glucose values, insulin and corticosteroids use, and outcomes was performed. Results: A volunteer group of 21 endocrinologists and 21 diabetes educators/nurses formed the consultation team. Patients with diabetes or at high-risk of diabetes and receiving corticosteroids were referred by primary volunteer physicians. Glucometers and related supplies, and insulin were donated, and delivered via same-day delivery services. A chat group of an individual patient/their caregiver, diabetes educator, endocrinologist, and primary physician was formed (majority via LINE^® platform) to assess the patient's clinical status and need. Real-time virtual DSMES sessions were performed and treatments were adjusted via smartphone application or telephone. There were 119 patients (1,398 service days), mean (SD) age 62.0 (13.6) years, 85.7% had a history of type 2 diabetes, and 84.0% received corticosteroids. Insulin was used in 88 patients; 69 of whom were insulin-naïve. During the first 10 days, there were 2,454 glucose values. The mean glucose level on day 1 was 280.6 (122.3) mg/dL, and declined to 167.7 (43.4) mg/dL on day 10. Hypoglycemia occurred in 1.4% of the values. A majority of patients (79.5%) recovered at home. Conclusion: Diabetes care and DSMES delivered via telemedicine to patients on home isolation during COVID-19 pandemic was safe and effective.

Original language	English (US)
Pages (from-to)	1448-1457
Number of pages	10
Journal	Journal of Diabetes Investigation
Volume	13
Issue number	8
DOIs	https://doi.org/10.1111/jdi.13804
State	Published - Aug 2022

Bibliographical note

Funding Information:
Part of the supplies utilized in this study was funded by The Diabetes Association of Thailand.

Funding Information:
We would like to thank the following individuals and organizations, all in Bangkok, Thailand, for their donations of supplies, funds, and time in caring for the patients: Nittaya Phanuphak, MD, PhD, Pribta Clinic, Institute of HIV Research and Innovation, Ramathibodi Hospital Medical Supplies Room, Chulalongkorn Hospital's Pediatric Endocrinologist Group, Ramathibodi Type 1 Diabetes Club, Diabetes Association of Thailand, Paneeya Sutabutra, M.D., Srikorn Jinadit, M.D., Thitikan Wangapakul, M.D., Lertluk Weerasarn, M.D., Pakamon Dechsongjarus, M.D., Napassaree Clinic, Sangsom Reutrakul, Sakorn and Montira Thavisin, and Sangsom School.

Publisher Copyright:
© 2022 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.

Keywords

COVID-19
Diabetes
Home isolation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Publisher link

10.1111/jdi.13804

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Harindhanavudhi, T., Areevut, C., Sahakitrungruang, T., Tharavanij, T., Kietdumrongwong, P., Ngimruksa, O., Songsiri, P., Pitukweerakul, S., Tanathornkirati, N., Kaewprasert, N., Thamcharoen, R., Karndumri, K., Saetung, S., Anthanont, P., Kiattisakthavee, P., Putkong, S., Chotwanvirat, P., Nartsupha Phattanasri, C., Jinadit, S., ... Reutrakul, S. (2022). Implementation of diabetes care and educational program via telemedicine in patients with COVID-19 in home isolation in Thailand: A real-worldexperience. Journal of Diabetes Investigation, 13(8), 1448-1457. https://doi.org/10.1111/jdi.13804

Implementation of diabetes care and educational program via telemedicine in patients with COVID-19 in home isolation in Thailand: A real-worldexperience. / Harindhanavudhi, Tasma; Areevut, Chatvara; Sahakitrungruang, Taninee et al.
In: Journal of Diabetes Investigation, Vol. 13, No. 8, 08.2022, p. 1448-1457.

Research output: Contribution to journal › Article › peer-review

Harindhanavudhi, T, Areevut, C, Sahakitrungruang, T, Tharavanij, T, Kietdumrongwong, P, Ngimruksa, O, Songsiri, P, Pitukweerakul, S, Tanathornkirati, N, Kaewprasert, N, Thamcharoen, R, Karndumri, K, Saetung, S, Anthanont, P, Kiattisakthavee, P, Putkong, S, Chotwanvirat, P, Nartsupha Phattanasri, C, Jinadit, S, Korpaisarn, S, Chusane, M, Samittarucksa, R, Lertrit, A, Siangruangsang, S, Sanpawithayakul, K, Sathiravikarn, W, Soisuwan, S, Chevaisrakul, P, Imsakul, K, Thuptimtong, P, Sakmanarit, J, Somwang, S, Prasartkaew, H, Jerawatana, R, Butadej, S, Tachanivate, P, Jongjaroenprasert, W, Sripatong, J, Chobtangsilp, S, Kamnirdsittiseree, P, Savetkairop, B, Manosittisak, W, Tantivatanasatien, J, Hathaidechadusadee, A & Reutrakul, S 2022, 'Implementation of diabetes care and educational program via telemedicine in patients with COVID-19 in home isolation in Thailand: A real-worldexperience', Journal of Diabetes Investigation, vol. 13, no. 8, pp. 1448-1457. https://doi.org/10.1111/jdi.13804

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abstract = "Background: The coronavirus disease (COVID-19) outbreak in Bangkok led to a shortage of hospital capacity, and a home isolation system was set up. We described the process of diabetes self-management education and support (DSMES) and glycemic management via telemedicine, along with outcomes in home-isolated patients with COVID-19 infection. Methods: A retrospective chart review of glucose values, insulin and corticosteroids use, and outcomes was performed. Results: A volunteer group of 21 endocrinologists and 21 diabetes educators/nurses formed the consultation team. Patients with diabetes or at high-risk of diabetes and receiving corticosteroids were referred by primary volunteer physicians. Glucometers and related supplies, and insulin were donated, and delivered via same-day delivery services. A chat group of an individual patient/their caregiver, diabetes educator, endocrinologist, and primary physician was formed (majority via LINE{\textregistered} platform) to assess the patient's clinical status and need. Real-time virtual DSMES sessions were performed and treatments were adjusted via smartphone application or telephone. There were 119 patients (1,398 service days), mean (SD) age 62.0 (13.6) years, 85.7% had a history of type 2 diabetes, and 84.0% received corticosteroids. Insulin was used in 88 patients; 69 of whom were insulin-na{\"i}ve. During the first 10 days, there were 2,454 glucose values. The mean glucose level on day 1 was 280.6 (122.3) mg/dL, and declined to 167.7 (43.4) mg/dL on day 10. Hypoglycemia occurred in 1.4% of the values. A majority of patients (79.5%) recovered at home. Conclusion: Diabetes care and DSMES delivered via telemedicine to patients on home isolation during COVID-19 pandemic was safe and effective.",

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author = "Tasma Harindhanavudhi and Chatvara Areevut and Taninee Sahakitrungruang and Thipaporn Tharavanij and Pongtorn Kietdumrongwong and Orasa Ngimruksa and Patitta Songsiri and Siwadon Pitukweerakul and Nattamon Tanathornkirati and Natthapon Kaewprasert and Ruchirek Thamcharoen and Krittadhee Karndumri and Sunee Saetung and Pimjai Anthanont and Pornpimol Kiattisakthavee and Sarapee Putkong and Phawinpon Chotwanvirat and {Nartsupha Phattanasri}, Chorthip and Srikorn Jinadit and Sira Korpaisarn and Manusvinee Chusane and Rattanapan Samittarucksa and Amornpan Lertrit and Sanguansak Siangruangsang and Kanokporn Sanpawithayakul and Waraporn Sathiravikarn and Sataporn Soisuwan and Parawee Chevaisrakul and Kanokporn Imsakul and Pinradakarn Thuptimtong and Jandanee Sakmanarit and Supaporn Somwang and Hussamon Prasartkaew and Ratanaporn Jerawatana and Siriwan Butadej and Porntip Tachanivate and Wallaya Jongjaroenprasert and Jeeraphan Sripatong and Sunanta Chobtangsilp and Pattraphorn Kamnirdsittiseree and Benjaporn Savetkairop and Warot Manosittisak and Jitra Tantivatanasatien and Amornrat Hathaidechadusadee and Sirimon Reutrakul",

note = "Funding Information: Part of the supplies utilized in this study was funded by The Diabetes Association of Thailand. Funding Information: We would like to thank the following individuals and organizations, all in Bangkok, Thailand, for their donations of supplies, funds, and time in caring for the patients: Nittaya Phanuphak, MD, PhD, Pribta Clinic, Institute of HIV Research and Innovation, Ramathibodi Hospital Medical Supplies Room, Chulalongkorn Hospital's Pediatric Endocrinologist Group, Ramathibodi Type 1 Diabetes Club, Diabetes Association of Thailand, Paneeya Sutabutra, M.D., Srikorn Jinadit, M.D., Thitikan Wangapakul, M.D., Lertluk Weerasarn, M.D., Pakamon Dechsongjarus, M.D., Napassaree Clinic, Sangsom Reutrakul, Sakorn and Montira Thavisin, and Sangsom School. Publisher Copyright: {\textcopyright} 2022 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.",

year = "2022",

month = aug,

doi = "10.1111/jdi.13804",

language = "English (US)",

volume = "13",

pages = "1448--1457",

journal = "Journal of Diabetes Investigation",

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TY - JOUR

T1 - Implementation of diabetes care and educational program via telemedicine in patients with COVID-19 in home isolation in Thailand

T2 - A real-worldexperience

AU - Harindhanavudhi, Tasma

AU - Areevut, Chatvara

AU - Sahakitrungruang, Taninee

AU - Tharavanij, Thipaporn

AU - Kietdumrongwong, Pongtorn

AU - Ngimruksa, Orasa

AU - Songsiri, Patitta

AU - Pitukweerakul, Siwadon

AU - Tanathornkirati, Nattamon

AU - Kaewprasert, Natthapon

AU - Thamcharoen, Ruchirek

AU - Karndumri, Krittadhee

AU - Saetung, Sunee

AU - Anthanont, Pimjai

AU - Kiattisakthavee, Pornpimol

AU - Putkong, Sarapee

AU - Chotwanvirat, Phawinpon

AU - Nartsupha Phattanasri, Chorthip

AU - Jinadit, Srikorn

AU - Korpaisarn, Sira

AU - Chusane, Manusvinee

AU - Samittarucksa, Rattanapan

AU - Lertrit, Amornpan

AU - Siangruangsang, Sanguansak

AU - Sanpawithayakul, Kanokporn

AU - Sathiravikarn, Waraporn

AU - Soisuwan, Sataporn

AU - Chevaisrakul, Parawee

AU - Imsakul, Kanokporn

AU - Thuptimtong, Pinradakarn

AU - Sakmanarit, Jandanee

AU - Somwang, Supaporn

AU - Prasartkaew, Hussamon

AU - Jerawatana, Ratanaporn

AU - Butadej, Siriwan

AU - Tachanivate, Porntip

AU - Jongjaroenprasert, Wallaya

AU - Sripatong, Jeeraphan

AU - Chobtangsilp, Sunanta

AU - Kamnirdsittiseree, Pattraphorn

AU - Savetkairop, Benjaporn

AU - Manosittisak, Warot

AU - Tantivatanasatien, Jitra

AU - Hathaidechadusadee, Amornrat

AU - Reutrakul, Sirimon

N1 - Funding Information: Part of the supplies utilized in this study was funded by The Diabetes Association of Thailand. Funding Information: We would like to thank the following individuals and organizations, all in Bangkok, Thailand, for their donations of supplies, funds, and time in caring for the patients: Nittaya Phanuphak, MD, PhD, Pribta Clinic, Institute of HIV Research and Innovation, Ramathibodi Hospital Medical Supplies Room, Chulalongkorn Hospital's Pediatric Endocrinologist Group, Ramathibodi Type 1 Diabetes Club, Diabetes Association of Thailand, Paneeya Sutabutra, M.D., Srikorn Jinadit, M.D., Thitikan Wangapakul, M.D., Lertluk Weerasarn, M.D., Pakamon Dechsongjarus, M.D., Napassaree Clinic, Sangsom Reutrakul, Sakorn and Montira Thavisin, and Sangsom School. Publisher Copyright: © 2022 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.

PY - 2022/8

Y1 - 2022/8

N2 - Background: The coronavirus disease (COVID-19) outbreak in Bangkok led to a shortage of hospital capacity, and a home isolation system was set up. We described the process of diabetes self-management education and support (DSMES) and glycemic management via telemedicine, along with outcomes in home-isolated patients with COVID-19 infection. Methods: A retrospective chart review of glucose values, insulin and corticosteroids use, and outcomes was performed. Results: A volunteer group of 21 endocrinologists and 21 diabetes educators/nurses formed the consultation team. Patients with diabetes or at high-risk of diabetes and receiving corticosteroids were referred by primary volunteer physicians. Glucometers and related supplies, and insulin were donated, and delivered via same-day delivery services. A chat group of an individual patient/their caregiver, diabetes educator, endocrinologist, and primary physician was formed (majority via LINE® platform) to assess the patient's clinical status and need. Real-time virtual DSMES sessions were performed and treatments were adjusted via smartphone application or telephone. There were 119 patients (1,398 service days), mean (SD) age 62.0 (13.6) years, 85.7% had a history of type 2 diabetes, and 84.0% received corticosteroids. Insulin was used in 88 patients; 69 of whom were insulin-naïve. During the first 10 days, there were 2,454 glucose values. The mean glucose level on day 1 was 280.6 (122.3) mg/dL, and declined to 167.7 (43.4) mg/dL on day 10. Hypoglycemia occurred in 1.4% of the values. A majority of patients (79.5%) recovered at home. Conclusion: Diabetes care and DSMES delivered via telemedicine to patients on home isolation during COVID-19 pandemic was safe and effective.

AB - Background: The coronavirus disease (COVID-19) outbreak in Bangkok led to a shortage of hospital capacity, and a home isolation system was set up. We described the process of diabetes self-management education and support (DSMES) and glycemic management via telemedicine, along with outcomes in home-isolated patients with COVID-19 infection. Methods: A retrospective chart review of glucose values, insulin and corticosteroids use, and outcomes was performed. Results: A volunteer group of 21 endocrinologists and 21 diabetes educators/nurses formed the consultation team. Patients with diabetes or at high-risk of diabetes and receiving corticosteroids were referred by primary volunteer physicians. Glucometers and related supplies, and insulin were donated, and delivered via same-day delivery services. A chat group of an individual patient/their caregiver, diabetes educator, endocrinologist, and primary physician was formed (majority via LINE® platform) to assess the patient's clinical status and need. Real-time virtual DSMES sessions were performed and treatments were adjusted via smartphone application or telephone. There were 119 patients (1,398 service days), mean (SD) age 62.0 (13.6) years, 85.7% had a history of type 2 diabetes, and 84.0% received corticosteroids. Insulin was used in 88 patients; 69 of whom were insulin-naïve. During the first 10 days, there were 2,454 glucose values. The mean glucose level on day 1 was 280.6 (122.3) mg/dL, and declined to 167.7 (43.4) mg/dL on day 10. Hypoglycemia occurred in 1.4% of the values. A majority of patients (79.5%) recovered at home. Conclusion: Diabetes care and DSMES delivered via telemedicine to patients on home isolation during COVID-19 pandemic was safe and effective.

KW - COVID-19

KW - Diabetes

KW - Home isolation

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Implementation of diabetes care and educational program via telemedicine in patients with COVID-19 in home isolation in Thailand: A real-worldexperience

Abstract

Bibliographical note

Keywords

UN SDGs

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