Publications by authors named "C Slyne"
Aims: To evaluate the use of hybrid (telehealth and in-person) care on visitation and glycaemia in older adults with type 1 diabetes (T1D).
Methods: In this retrospective study, we examined clinical characteristics, number of visits (telehealth and in-person) and continuous glucose monitoring (CGM) metrics for older adults (≥65 years) with T1D from electronic health records during the pre-COVID-19 pandemic (March 1, 2019-March 1, 2020; in-person) and pandemic (September 1, 2020-August 31, 2021; hybrid) periods. Main outcomes were the number of visits and changes in glycaemic control (HbA1c), and in a sub-group of older adults using CGM, changes in CGM metrics between in-person and hybrid care.
Article Synopsis
- Continuous glucose monitoring (CGM) combined with geriatric-focused treatment can effectively reduce hypoglycemia in older adults with type 1 diabetes without harming overall blood sugar control.
- A study involving older adults with a history of hypoglycemia found significant reductions in time spent with low blood sugar in those using CGM and tailored treatment versus traditional care.
- The intervention proved cost-effective, with a cost of $71,623 per quality-adjusted life-year, suggesting it offers good value for enhancing the health of this patient group.
Background: In recent years data-driven population segmentation using cluster analyses of mainly health care utilisation data has been used as a proxy of future health care need. Chronic conditions patterns tended to be examined after segmentation but may be useful as a segmentation variable which, in combination with utilisation could indicate severity. These could further be of practical use to target specific clinical groups including for prevention.
View Article and Find Full Text PDFOlder adults with type 1 diabetes (T1D) have unique challenges and needs. In this mixed-methods study, we explored the impact of isolation during a pandemic on diabetes management and overall quality of life in this population. Older adults (age ≥ 65 years) with T1D receiving care at a tertiary care diabetes center participated in semi-structured interviews during COVID-19 pandemic isolation between June and August 2020.
View Article and Find Full Text PDF