Department of Pediatrics & Changing Diabetes in Children Program, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh.
Department of Pediatrics, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh.
J Diabetes Investig. 2021 Jun;12(6):1060-1063. doi: 10.1111/jdi.13449. Epub 2020 Dec 10.
Our aim was to report our telemedicine experience with type 1 diabetes patients using insulin pumps who fasted for Ramadan 2020 during the COVID-19 pandemic. The routine diabetes outpatient care in our Changing Diabetes in Children (CDiC) Pediatric Diabetes Center at the Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders hospital was closed, as there was a lockdown from 26 March in Bangladesh. The diabetes team in our center started telemedicine care for routine follow up of patients. Nine patients who wished to fast for Ramadan contacted our diabetes team over the phone. The mean age was 19.3 ± 5.0 years, and five (55.6%) were female. Most of the patients fasted >20 days. Hyperglycemia and mild hypoglycemia were common complications during fasting. There was no episode of severe hypoglycemia or diabetic ketoacidosis, and none of the patients required admission. During the COVID-19 crisis in Bangladesh, patients with type 1 diabetes using an insulin pump could fast safely for Ramadan with the support of the telemedicine service by the diabetes team.
我们的目的是报告在 COVID-19 大流行期间，我们使用胰岛素泵的 1 型糖尿病患者在 2020 年斋月期间进行的远程医疗经验。由于孟加拉国从 3 月 26 日开始封锁，我们在孟加拉国糖尿病、内分泌和代谢紊乱研究所的儿童糖尿病中心（CDiC）的常规糖尿病门诊护理已经关闭。我们中心的糖尿病团队开始进行远程医疗护理，以对患者进行常规随访。有 9 名希望在斋月期间禁食的患者通过电话联系了我们的糖尿病团队。平均年龄为 19.3±5.0 岁，其中 5 名（55.6%）为女性。大多数患者禁食时间超过 20 天。在禁食期间，高血糖和轻度低血糖是常见的并发症。没有发生严重低血糖或糖尿病酮症酸中毒的病例，也没有患者需要住院治疗。在孟加拉国 COVID-19 危机期间，使用胰岛素泵的 1 型糖尿病患者在糖尿病团队的远程医疗服务的支持下，可以安全地进行斋月禁食。
