Timeline of Care

PresentationEmergency centerPatient 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.
InpatientHospital day 1Patient was admitted to pediatric intensive care unit to continue DKA management while awaiting SARS-CoV-2 PCR test result.
Hospital day 2Patient 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 3Patient and her parent completed telehealth consultation and education with the inpatient endocrinologist, CDCES, and dietitian. She was discharged ∼48 hours after admission.
Outpatient plans5 days after dischargeDiabetes education was provided for two other family members via telehealth.
2 weeks after dischargeSecond diabetes education session as held for the primary caregiver via telehealth.
4 weeks after dischargeTelehealth visit was held with endocrinologist.