Robbins, Tim, Hopper, Adam, Brophy, Jack, Pearson, Elle, Suthantirakumar, Risheka, Vankad, Maariyah, Igharo, Natalie, Baitule, Sud, Clark, Cain CT, Arvanitis, Theodoros N, Sankar, Sailesh, Kyrou, Ioannis and Randeva, Harpal (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 ,
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/m 2) 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.
Publication DOI: | https://doi.org/10.1177/20552076211059350 |
---|---|
Divisions: | College of Health & Life Sciences > Aston Medical School |
Additional Information: | This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Uncontrolled Keywords: | COVID-19,diabetes,digital health,flash glucose monitoring,inpatient care,Health Policy,Health Informatics,Computer Science Applications,Health Information Management |
Publication ISSN: | 2055-2076 |
Last Modified: | 25 Nov 2024 08:26 |
Date Deposited: | 10 Jan 2022 09:16 |
Full Text Link: | |
Related URLs: |
https://journal ... 552076211059350
(Publisher URL) http://www.scop ... tnerID=8YFLogxK (Scopus URL) |
PURE Output Type: | Article |
Published Date: | 2022-01-14 |
Published Online Date: | 2022-01-07 |
Accepted Date: | 2021-10-25 |
Submitted Date: | 2021-02-14 |
Authors: |
Robbins, Tim
Hopper, Adam Brophy, Jack Pearson, Elle Suthantirakumar, Risheka Vankad, Maariyah Igharo, Natalie Baitule, Sud Clark, Cain CT Arvanitis, Theodoros N Sankar, Sailesh Kyrou, Ioannis ( 0000-0002-6997-3439) Randeva, Harpal |