Telemedicine and urban diabetes during COVID-19 pandemic in Milano, Italy during lock-down: epidemiological and sociodemographic picture

Background Since 2010, more than half of World population lives in Urban Environments. Urban Diabetes has arisen as a novel nosological entity in Medicine. Urbanization leads to the accrual of a number of factors increasing the vulnerability to diabetes mellitus and related diseases. Herein we repor...

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Bibliographic Details
Published in:Acta diabetologica 2021-07, Vol.58 (7), p.919-927
Main Authors: Luzi, Livio, Carruba, Michele, Crialesi, Roberta, Da Empoli, Stefano, Dagani, Regina, Lovati, Elisabetta, Nicolucci, Antonio, Berra, Cesare C., Cipponeri, Elisa, Vaccaro, Ketty, Lenzi, Andrea
Format: Article
Language:English
Subjects:
Aging
Body weight
Coronaviruses
COVID-19
Diabetes
Diabetes mellitus (insulin dependent)
Diabetes mellitus (non-insulin dependent)
Environmental factors
Epidemiology
Glucose
Glucose monitoring
Hemoglobin
Internal Medicine
Medicine
Medicine & Public Health
Metabolic Diseases
Metropolitan areas
Morbidity
Obesity
Original
Original Article
Overweight
Pandemics
Remote control
Telemedicine
Urban environments
Urbanization
Virulence
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Summary:Background Since 2010, more than half of World population lives in Urban Environments. Urban Diabetes has arisen as a novel nosological entity in Medicine. Urbanization leads to the accrual of a number of factors increasing the vulnerability to diabetes mellitus and related diseases. Herein we report clinical-epidemiological data of the Milano Metropolitan Area in the contest of the Cities Changing Diabetes Program. Since the epidemiological picture was taken in January 2020, on the edge of COVID-19 outbreak in the Milano Metropolitan Area, a perspective addressing potential interactions between diabetes and obesity prevalence and COVID-19 outbreak, morbidity and mortality will be presented. To counteract lock-down isolation and, in general, social distancing a pilot study was conducted to assess the feasibility and efficacy of tele-monitoring via Flash Glucose control in a cohort of diabetic patients in ASST North Milano. Methods Data presented derive from 1. ISTAT (National Institute of Statistics of Italy), 2. Milano ATS web site (Health Agency of Metropolitan Milano Area), which entails five ASST (Health Agencies in the Territories). A pilot study was conducted in 65 screened diabetic patients (only 40 were enrolled in the study of those 36 were affected by type 2 diabetes and 4 were affected by type 1 diabetes) of ASST North Milano utilizing Flash Glucose Monitoring for 3 months (mean age 65 years, HbA1c 7,9%. Patients were subdivided in 3 groups using glycemic Variability Coefficient (VC): a. High risk, VC > 36, n. 8 patients; Intermediate risk 20 
ISSN:0940-5429
1432-5233
DOI:10.1007/s00592-021-01700-2