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Volume 08 Journal of Community Medicine & Health Education Public Health Summit 2018
May 24-25, 2018
May 24-25, 2018 Osaka, Japan
4th World Congress on
Public Health, Epidemiology & Nutrition
Health disparity: Childhood diabetes mellitus control, assessment of control and compliance enhancement
with Telehealth
George William Moll
University of Mississippi Medical Center, USA
Diabetes mellitus (DM) requires individualized treatment programs to optimize quality of life and survival. Mississippi
has a 2017 population 2.98 million including about 3 per 1000 school age children with DM over 48,434 sq. miles served
by only one Children’s of Mississippi Hospital. In 2016 we ranked 1st in US with 308,295 adults living with DM prompting
our 2017 Mississippi diabetes action plan. This identified disparities in DM prevalence and hospitalization rates for race,
education, income and rural vs. metropolitan. Our DM patients often return to clinic few if any blood sugar (BG) records or
meters. The clinic visit is an optimal time to make DM control recommendations. Hemoglobin A1c (HgbA1c) levels associate
with tragic DM complication risks and reflect average BG exposure over previous 2 to 3-month interval. We use point of care
(POCT) BG and HgbA1c for individualized DM home care recommendations while awaiting our National Glycohemoglobin
Standardization Program (NGSP) certified clinical lab (CENT) HgbA1c levels. Our retrospective quality improvement study
comparing patient simultaneously obtained POCT and CENT HgbA1c levels indicates our instrumentation can attain HgbA1c
standard of care agreement with total allowable error no more than 10%, but POCT HgbA1c 8.5%-10% can at times return
CENT HgbA1c 7.5% or less (excellent control). Our UMMC Telehealth is improving individual care beyond clinic visits with
remote patient monitoring encouraging 3-4 times daily BG compliance. RPM reduced HgbA1c levels in 16 of 23 patients (44%)
and hospital encounters decreased 2.6 to 0.7 per patient per year. We are seeing improved childhood DM control.
Biography
George William Moll has received Biochemistry PhD and MD from University of Chicago Pritzker School of Medicine. He is Tenured Professor Pediatrics and
Pediatric Endocrinology at University of Mississippi Medical Center (UMMC) where he has been Division Chair for 25 years. He published over 50 peer reviewed
papers and 100 abstracts. He has over 40 years Clinical practice, Education as Graduate Faculty UMMC School of Medicine and Research experience. He is
UMMC Sigma XI Chapter President and holds Chair or Vice-Chair in Mississippi Academy of Sciences Division of Health Sciences. He serves as abstract and
journal reviewer and Mississippi Health Department Genetics Advisory Board Member.
George William Moll, J Community Med Health Educ 2018, Volume 8
DOI: 10.4172/2161-0711-C2-035