A recent large-scale study concludes that both type 1 and type 2 diabetes are associated with an increased risk of COVID-19-related in-hospital death. While, People of all ages with underlying medical conditions, particularly if not well controlled, including diabetes at higher risk for severe illness from COVID-19. COVID-19 mitigation strategies combined with fear of infection and economic uncertainty, social isolation, reduced physical activity, limited access to care, and lack of motivation and monitoring could have serious impact people with type 2 diabetes and their management of diabetes. With weakened immune systems and resistance to infection, the outcomes are potentially serious but avoidable.

A comprehensive dataset is required to develop evidence-based protocols during a pandemic for: Delivery of diabetes (and other chronic conditions) care; modification self-management and home monitoring program; therapeutic changes to avoid potential metabolically interfering effects of drugs in suspected or COVID-19 positive patients with diabetes; and in-hospital care plan. This must include review of patient’s lifestyle (diet and exercise), self-monitoring results as well as historical and current demographics. Data that includes ethnicity, medication, allergies, vaccination, hospital care plan data, and even, gut microbiome information is essential to revise and plan for the present and any future pandemics. This application addresses these issues and provides a framework for treatment today and in the future, as well as virtual diabetes care.

  • Monitoring COVID-19 symptoms and supporting people during self-isolation
  • Monitoring and supporting people with chronic illnesses
  • Base line data for epidemiological analysis
  • Base line data for developing evidence-based diabetes care protocols

Self-isolation / self-quarantine during probable or confirmed COVID-19 infection requires continuous monitoring and tracking by qualified healthcare providers to ensure appropriate actions are taken based on the self-isolated person health conditions; as well reducing their anxiety. However, with the sharp increase of patients, the existing call centers can’t cope with the number of calls or gather baseline data for epidemiological studies is required to develop country-based mitigation measures that influence the course of the COVID-19 epidemic..

When people are requested to self-isolate, they will registered by the designated health care system. The application allows self-isolated people to self-record their COVID-19 symptoms or health monitoring centers to record the self-isolated people symptoms and monitoring of diabetes, asthma, CVD, and COPD at home, assuring those at the highest risk levels with COVID-19 receive proper care.

Self-Monitoring

  • Daily self-recording COVID-19 symptoms, currently based on BC CDC monitoring form
  • Record current chronic conditions
  • Telemedicine / Message Board / Chat Bot
  • Automated reminder notification
  • Automated notification to healthcare providers
  • Self-monitoring of Diabetes, Asthma, and COPD
Patient
Nurse

Nurse
Monitoring and support by public health

  1. Initial call with the self-isolated person and registration
  2. Set parameters for automated notification based on the person's current health conditions, according to the established protocol. The application send SMS notifications to the designated health care provider to contact the patient using telehealth.
  3. Daily recording of COVID-19 symptoms, currently based on BC CDC monitoring form
  4. Recording of chronic conditions, medications and vaccinations, demographics, and emergency contacts
  5. Visualization of symptoms that are out of range and generation of medical reports
  6. Analytics for public health and diabetes care plans
  7. Analytics for public health and diabetes care plans
  8. Algorithms for decision support and treatment (AI) based on clinical guidelines and cases similarity analysis

Analytics
Reports and Analytics
The application generates comprehensive medical reports and facilitates sharing of recommendations between care team members, and provides comprehensive analytics tools, a series of standardized reports and customizable queries for outcome analysis.

Automated Tools for: CANRISK Score, Framingham Risk Score, CKD Stages, and Pharmacotherapy
telemedicine
Telehealth
Using a HIPPA compliant tool, the application helps healthcare providers to conduct virtual visits and communication with chat, video, voice, and healthcare tools in a single hub.


Analytics
Patient Education
The application provides patients with in-depth interactive education about type 2 diabetes and how to manage it. During pandemics mitigation and physical distancing periods, newly diagnosed patients have no access to classroom education; cloud-based self-education is the only source of education to patients and their families. Additional contents about COVID-19 and other chronic conditions will be added.
education
CME and Training
The application has a Learning Content Management Systems (LCMS) to create, manage, host and track digital learning content for continuing medical education and training.

In addition, the LCMS provides secured instant chat room and message board for exchanging knowledge and discussions among registered users.

Short-term Benefits

  • Reduce anixety during self-isolation
  • Continous monitoring and timely intervention
  • Reduce pressure on the health care system
  • Identify risk areas
  • Automated notification to healthcare providers


Long-term Benefits

Data could be used for research on:
  • Epidemiological analysis of COVID-19
  • Socio-economic impact of social distance and self-isolation
  • Effectiveness of self-isolation
  • COVID-19 prevalence and severity in relation to age group, sex, socio-economic, and ethnicities.
  • Protocols for diabetes care.
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