Abstract
Background: As CMS started to reimburse videovisits during public health emergency, virtual diabetes care became routine for diabetes clinics. Since better diabetes care depends on review of data, at UPMC, we created a workflow to facilitate diabetes data download before virtual visits. Best practices for virtual diabetes data download is not known. Objective: To analyze the diabetes technology data download workflow efficiency in our clinic for virtual visits. Methods: At University of Pittsburgh endocrine clinic, staff reaches out to patients with diabetes who are scheduled for videovisits one week before their appointment with instructions on how to download glucometer, insulin pump and/or CGM data. We completed a retrospective chart review to understand the effectiveness of this workflow in obtaining data before visits. Results: August 2020 to January 2020, our clinic staff reached out to 1197 patients with diabetes via secure portal before their videovisits to obtain diabetes data download. Patients used Tidepool software to download their pumps and glucometers or cloud technology for CGM data sharing. 164(14%) patients were on insulin pump(with or without CGM), 159(13%) patients had a CGM alone and 874(73%) patients had a glucometer alone. 190(15%) patients uploaded their data to Tidepool, 150 (12%) patients shared their CGM data via cloud using their cell phone apps.873(73%) patients did not download their blood sugar data before appointment, most of these patients had glucometer only. The barriers to sharing data virtually were reported by 104 patients. 25/104 (25%) of patients had no access to a computer. 6 patients (5%) reported having a glucometer that does not have compatibility with Tidepool software. 35/104 (32%) of patients reported not having cable to download their data. Conclusion: The most common barrier for patients to share their diabetes technology data was lack of cables. Diabetes clinics should analyze their remote diabetes data workflows to troubleshoot barriers. Disclosure E. Karslioglu-french: None. D. Sistla: None. A. C. Meyer: None.
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