Presentation |
Emergency center |
Patient was sent to the TCH emergency center by her primary care provider for the concern of COVID-19 infection requiring a higher level of care. Laboratory tests confirmed new-onset type 1 diabetes with DKA. Treatment was started. |
Inpatient |
Hospital day 1 |
Patient was admitted to pediatric intensive care unit to continue DKA management while awaiting SARS-CoV-2 PCR test result. |
Hospital day 2 |
Patient was transferred to SIU after a positive SARS-CoV-2 PCR result was received. After DKA was resolved, she was transitioned to subcutaneous insulin injections, and logistics of telehealth education were planned. |
Hospital day 3 |
Patient and her parent completed telehealth consultation and education with the inpatient endocrinologist, CDCES, and dietitian. She was discharged ∼48 hours after admission. |
Outpatient plans |
5 days after discharge |
Diabetes education was provided for two other family members via telehealth. |
2 weeks after discharge |
Second diabetes education session as held for the primary caregiver via telehealth. |
4 weeks after discharge |
Telehealth visit was held with endocrinologist. |