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Delivering evidence-based interventions for type 1 diabetes in the virtual world – A review of UK practice during the SARS-CoV-2 pandemic

journal contribution
posted on 09.05.2022, 16:07 by A Sathyanarayanan, T Crabtree, P Choudhary, J Elliott, ML Evans, A Lumb, EG Wilmot
Aims: This review considers the impact of the SARS-CoV-2 pandemic on access to interventions for those living with type 1 diabetes and discusses the solutions which have been considered and actioned to ensure ongoing access care. Methods: We performed a focussed review of the published literature, and the guidelines for changes that have been effected during the pandemic. We also drew from expert recommendations and information about local practice changes for areas where formal data have not been published. Results: Evidence based interventions which support the achievement of improved glucose levels and/or reduction in hypoglycaemia include group structured education to support self-management, insulin pump therapy and continuous glucose monitoring. The SARS-CoV-2 pandemic had impacted the ability of diabetes services to deliver these intervention. Multiple adaptations have been put in place – transition to online delivery of education and care, and usage of diabetes technology. Conclusions: Although various adaptations have been made during the pandemic that have positively influenced uptake of services, there are many areas of delivery that need immediate improvement in the UK. We recommend a proactive approach in recognising the digital divide and inequity in distribution of these changes and we recommend introducing measures to reduce them.

History

Citation

Diabetes Research and Clinical Practice Volume 185, March 2022, 109777

Author affiliation

Diabetes Research Centre, College of Life Sciences

Version

VoR (Version of Record)

Published in

Diabetes Research and Clinical Practice

Volume

185

Pagination

109777

Publisher

Elsevier BV

issn

0168-8227

eissn

1872-8227

Acceptance date

07/02/2022

Copyright date

2022

Language

eng

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