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Background: During coronavirus pandemic disease 2019 (COVID-19) the Government of the Republic of Slovenia introduced a series of restrictive measures including outpatient clinics closure and a cessation of all elective healthcare visits To sustain attentiveness to optimal diabetes care, the vast majority of appointments for individuals with type 1 diabetes were transitioned to video digital/virtual visits Methods: In this prospective observational study, we compared glycaemic control of children, adolescents and young adults with type 1 diabetes from the Slovenian National Childhood Type 1 Diabetes Registry during the pre-lockdown and lockdown periods We approached all individuals with type 1 diabetes, who had a visit scheduled between 15th of March and 20th of May 2020 Results: Out of 326 subjects, 313 (96% response rate) attended a video digital/virtual visit Glycaemic control was not impaired during the lockdown period in individuals with type 1 diabetes and has even slightly improved Mean glucose was 9 3 mmol/l (IQR 8 3–10 3) during the lockdown, compared to 9 5 mmol/l (IQR 8 2–10 9), p = 0 001 during the pre-lockdown period Conclusion: In a short period of time, we established effective workflows to enable video digital/ virtual visits that provided individuals with type 1 diabetes good clinical support and prevented deterioration of this chronic condition and its acute complications during the lockdown due to the COVID-19 pandemic

Nationwide digital/virtual diabetes care of children, adolescents and young adults with type 1 diabetes during a COVID-19 pandemic in Slovenia