Management of Diabetic Patients With Telemedicine in the Context of the Covid-19 Epidemic

NCT ID: NCT04370171

Last Updated: 2020-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

610 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-05-04

Study Completion Date

2020-05-29

Brief Summary

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Since the end of February 2020, Covid-19 infection has spread widely in France, particularly in the East region, with on March 25th, 2020, 5,479 infected patients and 407 deceased patients, including 256 in Alsace. Among the hospitalized patients reported in the initial Chinese studies, 48% had co-morbidity, particularly diabetes or cardiovascular disease. Covid-19 infection does not appear to be more common in diabetic patients, but infected diabetics have more severe forms.

The prevalence of diabetes is high in Alsace affecting 6.5% of the population against 4.6% in France. Du to health containment measures, asymptomatic diabetic patients can no longer come to the clinic in Hospital for their consultation. However, in the current epidemiological context, maintaining optimal glycemic control is fundamental since some of diabetic patients will have Covid-19 infections. Furthermore, the sedentary lifestyle and snacking linked to the confinement period will contribute to a glycemic imbalance in some patients. Telemedicine, and in particular teleconsultation, which until now has been very uncommon in the management of diabetic patients, represents a very interesting alternative for monitoring these patients and maintaining satisfactory metabolic control during the current period of confinement and Covid-19 epidemic.

Detailed Description

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Conditions

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Diabetes Covid-19

Keywords

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Diabetes Telemedicine Covid-19 epidemic Glucose control

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group TC: Diabetic patients followed by Teleconsultation

Teleconsultation group will be composed of patients for whom the consultation initially scheduled in the presence of the diabetologist has been replaced by a teleconsultation due to the availability of diabetologists whose activity is focused on the management of Covid-19 negative patients.

Teleconsultation either by phone or by computer consultation

Intervention Type OTHER

Management of diabetic patients by telemedicine with a teleconsultation either by phone or by computer consultation

Group P: Diabetic patients with conventional follow-up

Conventional group will be composed of patients for whom the consultation initially scheduled in the presence of the diabetologist was differed by 6 months due to the activity of some diabetologists entirely redirected towards the management of Covid-19 positive patients and not available

care modalities

Intervention Type OTHER

For these patients the consultation has been postponed for 6 months. No specific intervention for this group of patient.

Interventions

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care modalities

For these patients the consultation has been postponed for 6 months. No specific intervention for this group of patient.

Intervention Type OTHER

Teleconsultation either by phone or by computer consultation

Management of diabetic patients by telemedicine with a teleconsultation either by phone or by computer consultation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult diabetic patient (type 1,2, MODY, secondary, post transplantation) followed by diabetology consultation at the hospital or by a liberal diabetologist
* Subject affiliated to a social health insurance
* Subject able to understand the objectives of the research
* Subject who expressed his non opposition to the research

Exclusion Criteria

* Pregnant woman
* Patients with acute complications (foot ulcer, post stroke, post IDM)
* Cancer or life expectancy of less than 6 months
* Inability to provide informed information to the subject (subject in an emergency, difficulty of understanding for the subject, etc.)
* Subject under judicial protection
* Subject under guardianship or curatorship
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Strasbourg, France

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hôpitaux Universitaires de Strasbourg

Strasbourg, , France

Site Status

Countries

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France

Other Identifiers

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7775

Identifier Type: -

Identifier Source: org_study_id