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. 2022;22(13):1313-1318.
doi: 10.2174/1871530322666220104100944.

A Multi-professional Approach for Transition of Care at Discharge in Hyperglycemic Inpatients with COVID-19: A Single Center Study

Elena Castellano  1 , Donatella Gaviglio  1 , Micaela Pellegrino  1 , Laura Gianotti  1 , Giampaolo Magro  1 , Francesco Tassone  1 , Claudia Baffoni  1 , Renza Sibbono  1 , Roberto Attanasio  2 , Alberto Boriano  3 , Giorgio Borretta  1
Affiliations

A Multi-professional Approach for Transition of Care at Discharge in Hyperglycemic Inpatients with COVID-19: A Single Center Study

Elena Castellano et al. Endocr Metab Immune Disord Drug Targets. 2022.

Abstract

Background: The discharge from the hospital of insulin-treated hyperglycemic patients is always challenging. This is even more so in patients requiring glucocorticoid treatment, such as those with COVID-19.

Patients and methods: A retrospective monocentric study of 23 inpatients was conducted with newly diagnosed or already known diabetes mellitus (DM) who were naïve to insulin treatment, and who were hospitalized with COVID-19 in non-critical settings and then discharged. Patients were followed up for one month after discharge for the management of insulin treatment by a multi-professional team through phone consultations.

Results: Insulin prescriptions at discharge were 24.6 ± 14 U/day injected in 2 ± 1.5 daily shots. A mean of three phone consultations was required. One month later, the mean insulin reduction was 1.5 ± 1.3 shots and 6 ± 5 U/day. All patients reached their glycemic target without hypoglycemic events, drop-outs, or readmissions.

Conclusion: This study demonstrates the feasibility, efficacy, and safety of a multi-professional approach through telemedicine for managing DM patients after discharge during COVID-19.

Keywords: COVID-19; Diabetes; discharge; inpatients; insulin requirement; telemedicine.

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