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The COVID pandemic effects on the control of chronic diseases such as diabetes has been a growing concern. UK based studies have shown that during the pandemic, there were unfortunate reductions in A1c testing, an increase in diabetes related mortality, and an increased concern of subpar care in the outpatient setting. With the pandemic currently present in the US over a year, we retrospectively analyzed the trends of diabetic emergencies as it relates to A1c ordering frequency and telemedicine utilization.

Using the EPIC database, patients with type 1 and type 2 diabetes that were affiliated with the institution's primary care and endocrinology outpatient centers were selected. From this patient population, diabetes related ER visits/ admissions (hyperglycemia, DKA, HHS), A1c ordering frequency, average A1c and telemedicine utilization (telephone …