Goran Petrovski, Qatar
Sidra Medicine PediatricsPresenter of 4 Presentations
The 10-Days Initiation Protocol & Clinical Evidence
Practical Cases & Discussions
REMOTE INITIATION OF HYBRID CLOSED LOOP USING SKYPE IN CHILDREN AND ADOLESCENTS WITH TYPE 1 DIABETES
Abstract
Background and Aims
The aim of this study was to evaluate effectiveness of remote initiation of Hybrid Closed Loop (HCL) System on glycemic control in patients with Type 1 Diabetes (T1D) on Multiple Daily Injections (MDI).
Methods
Individuals with T1D (7 to 18 years old) initiated the MiniMed 670G HCL system using Skype Meet Now with the following program: introduction session, pre-course and technical requirements session, one face to face practical session for sensor insertion and four consecutive online sessions: Day 1- Manual Mode, bolus wizard use, basal rates, Auto Mode and readiness; Day 2- Infusion set and reservoir change; Day 3- hypoglycemia, hyperglycemia, exercise and travel management; Day 4- Evaluation to initiate HCL system. HbA1c, Time in Range, HCL system characteristics were analyzed after 3-month of HCL initiation.
Results
A total of 14, patients (age 11.4±2.8 years) and their caregivers commenced MiniMed 670G using the remote initiation program and used the system for 3 months. Sensor wear of 89.1±8.2% and Auto Mode usage of 86.8±6.8% was noted after 3 months of HCL initiation. Time in Range (70-180mg/dL) increased from 45.4±9.2% at baseline to 74.6±8.2% at the end of the study (p<0.001). There was no severe hypoglycemia nor DKA during the study.
Conclusions
Remote initiation program in individuals with T1D on MDI, can be an effective tool to initiate an HCL system and to improve glycemic control in a safe manner. Technical assessment (basic computer skills and internet connection), as well as educators’ skills on remote teaching are crucial factors in successful initiation of HCL system.