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Digitally enabled flash glucose monitoring for inpatients with COVID-19 : feasibility and pilot implementation in a teaching NHS Hospital in the UK
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Robbins, Tim, Hopper, Adam, Brophy, Jack, Pearson, Elle, Suthantirakumar, Risheka, Vankad, Maariyah, Igharo, Natalie, Baitule, Sud, Clark, Cain C. T., Arvanitis, Theodoros N., Sankaranarayanan, Sailesh, Kyrou, Ioannis and Randeva, Harpal S. (2022) Digitally enabled flash glucose monitoring for inpatients with COVID-19 : feasibility and pilot implementation in a teaching NHS Hospital in the UK. Digital Health, 8 . 20552076211059350. doi:10.1177/20552076211059350 ISSN 2055-2076.
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WRAP-Digitally-enabled-flash-glucose-monitoring-inpatients-COVID-19-pilot-NHS-UK-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-Noncommercial 4.0. Download (976Kb) | Preview |
Official URL: https://doi.org/10.1177/20552076211059350
Abstract
Background: COVID-19 placed significant challenges on healthcare systems. People with diabetes are at high risk of severe COVID-19 with poor outcomes. We describe the first reported use of inpatient digital flash glucose monitoring devices in a UK NHS hospital to support management of people with diabetes hospitalized for COVID-19. Methods: Inpatients at University Hospitals Coventry & Warwickshire (UHCW) NHS Trust with COVID-19 and diabetes were considered for digitally enabled flash glucose monitoring during their hospitalization. Glucose monitoring data were analysed, and potential associations were explored between relevant parameters, including time in hypoglycaemia, hyperglycaemia, and in range, glycated haemoglobin (HbA1c), average glucose, body mass index (BMI), and length of stay. Results: During this pilot, digital flash glucose monitoring devices were offered to 25 inpatients, of whom 20 (type 2/type 1: 19/1; mean age: 70.6 years; mean HbA1c: 68.2 mmol/mol; mean BMI: 28.2 kg/m2) accepted and used these (80% uptake). In total, over 2788 h of flash glucose monitoring were recorded for these inpatients with COVID-19 and diabetes. Length of stay was not associated with any of the studied variables (all p-values >0.05). Percentage of time in hyperglycaemia exhibited significant associations with both percentage of time in hypoglycaemia and percentage of time in range, as well as with HbA1c (all p-values <0.05). The average glucose was significantly associated with percentage of time in hypoglycaemia, percentage of time in range, and HbA1c (all p-values <0.05). Discussion: We report the first pilot inpatient use of digital flash glucose monitors in an NHS hospital to support care of inpatients with diabetes and COVID-19. Overall, there are strong arguments for the inpatient use of these devices in the COVID-19 setting, and the findings of this pilot demonstrate feasibility of this digitally enabled approach and support wider use for inpatients with diabetes and COVID-19.
| Item Type: | Journal Article | |||||||||||||||||||||||||||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group) |
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| SWORD Depositor: | Library Publications Router | |||||||||||||||||||||||||||||||||
| Library of Congress Subject Headings (LCSH): | COVID-19 (Disease) , Diabetes -- Treatment, Diabetics -- Hospital care, Diabetes -- Computer network resources, Medical care -- Technological innovations, Blood glucose monitoring , Blood glucose monitoring -- Technological innovations, Biosensors | |||||||||||||||||||||||||||||||||
| Journal or Publication Title: | Digital Health | |||||||||||||||||||||||||||||||||
| Publisher: | SAGE Publications | |||||||||||||||||||||||||||||||||
| ISSN: | 2055-2076 | |||||||||||||||||||||||||||||||||
| Official Date: | 1 January 2022 | |||||||||||||||||||||||||||||||||
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| Volume: | 8 | |||||||||||||||||||||||||||||||||
| Article Number: | 20552076211059350 | |||||||||||||||||||||||||||||||||
| DOI: | 10.1177/20552076211059350 | |||||||||||||||||||||||||||||||||
| Status: | Peer Reviewed | |||||||||||||||||||||||||||||||||
| Publication Status: | Published | |||||||||||||||||||||||||||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||||||||||||||||||||||||||
| Date of first compliant deposit: | 3 March 2022 | |||||||||||||||||||||||||||||||||
| Date of first compliant Open Access: | 3 March 2022 | |||||||||||||||||||||||||||||||||
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