Telemedicine to enhance pediatric diabetes care Video consultations as an extension of outpatient diabetes care

We present the current status and potential of currently available telemedicine concepts with a specific focus on pediatric diabetes care. Data from continuous glucose measurement (CGM) systems and insulin pumps can increasingly be downloaded and shared via interoperable or manufacturer-based data platforms, and thus enable health care professionals of diabetes teams to provide advice based on these data for continuous medical care, even if not met in-person. Initially, video consultations may represent an additional service, as they are often subject to long implementation processes and depend, among other things, on video chat software that is compliant to data privacy and security, coordinated operating processes and finally, technical support. Telemedicine can currently support existing consultation concepts in hospitals and outpatient clinics and thus help fully utilize the potential of digital documentation of CGM and automated insulin devices. However, it is important to note that telemedicine has not yet proven a reduction in time and effort for medical staff and impact on personnel costs.