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Published on: July 5, 2022
Virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study
Janeth Leksell1, Eva Toft2,3, Jessica Rosman4
1Department of Medical Sciences, Clinical Diabetology and Metabolism, Uppsala University, Akademiska sjukhuset, Uppsala, SE-75185, Sweden. Janeth.Leksell@medsci.uu.se.
Virtual diabetes clinics show promise for improving quality of life in young adults with type 1 diabetes, though glycaemic control and treatment satisfaction did not significantly change. Further research is needed for long-term effects.
Area of Science:
- Endocrinology
- Digital Health
- Adolescent Medicine
Background:
- Transitioning paediatric to adult care for type 1 diabetes presents challenges.
- Virtual diabetes clinics offer a novel approach for self-management and provider communication.
- Smartphone applications can support young adults with type 1 diabetes.
Purpose of the Study:
- To evaluate the impact of a virtual diabetes clinic on glycaemic control.
- To assess changes in treatment satisfaction and quality of life.
- To examine the effects on young adults with type 1 diabetes.
Main Methods:
- A prospective, single-centre, randomised, wait-list controlled trial.
- 79 participants (18-25 years) with type 1 diabetes were randomised.
- Intervention group used the Vista Dialog virtual care platform for 6 months.
Main Results:
- No significant differences in HbA1c, time in range, or time below range.
- Diabetes treatment satisfaction remained unchanged between groups.
- The intervention group reported a significant reduction in physical health burden, improving quality of life.
Conclusions:
- Virtual diabetes clinics did not significantly improve glycaemic control or treatment satisfaction.
- The Vista Dialog platform showed potential in enhancing quality of life for young adults with type 1 diabetes.
- Further investigation is required to determine long-term benefits and optimal implementation.
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