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Master Thesis

Téléexpertise diabétologique, utilisant un CGM professionnel, dans le parcours de soins des patients atteints de diabète en milieu carcéral, une étude prospective monocentrique à l’UCSA de Caen : étude UCSADiab

Abstract : Introduction: Care access in jail is limited due to the complexity of extraction procedures and to the small number of health care professionals available for this activity. Many patients with diabetes have a poor glycemic control. We conducted a teleexpertise study for patients with diabetes in jail. The primary enpoint was to evaluate the efficacy of tele-expertise (delta HbA1c at 3 months). Secondary endpoints were satisfaction with the use of tele-expertise, both among patients and health care professionals. Material and method: UCSADiab is a prospective monocentric study in routine care for diabetic patients in Caen jail. Included patients worn a 14 days professional CGM that was send to the diabetologist who recommended therapeutic adjustments. HbA1c and a second CGM recording were used to evaluate metabolic improvement at 3 months. Results: As the study is still ongoing, we report here the two first clinical cases of teleexpertise in jail. HbA1c improved for only one patient with a 3.5% drop. Conclusion: The UCSADiab study showed encouraging results in terms of feasibility for 2 patients and efficacy for one patient. Of course, these results will have to be completed with other inclusions. This pilot study also paves the way to extend teleexpertise to all diabetic patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03599730
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Submitted on : Monday, March 7, 2022 - 1:39:23 PM
Last modification on : Wednesday, April 13, 2022 - 3:44:51 AM

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  • HAL Id : dumas-03599730, version 1

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Simon Danlos. Téléexpertise diabétologique, utilisant un CGM professionnel, dans le parcours de soins des patients atteints de diabète en milieu carcéral, une étude prospective monocentrique à l’UCSA de Caen : étude UCSADiab. Médecine humaine et pathologie. 2021. ⟨dumas-03599730⟩

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