The COVID-19 pandemic has resulted in a rapid transfer of most diabetes care from face to face clinics to virtual consultations, and in general the response from people with diabetes and health professionals is positive . Advantages include saving time, travel and time off work . Disadvantages relate mainly to technological barriers but include increased difficulty in recognising and addressing emotional distress if non-verbal clues are lost . People report that there is more focus on glucose levels and in this sense the consultations are more ‘ efficient ’ . However, emotional issues may be more difficult to identify, particularly if the consultation is phone-based . Diabetes distress and other diabetes-related psychological issues are well recognised but people may be wary about discussing them remotely with a health care professional . To address this, the consultation should focus on the agenda of the person with diabetes, in particular life events or emotional difficulties that may be a barrier to good glucose control . Virtual consultations are certain to become a mainstay of future diabetes care but will not be suitable for everyone . First meetings should be face to face wherever possible to establish rapport; continuity of care is essential to maintain this . Access to technology, safeguarding issues and personal preference all influence suitability for virtual follow up . Training should be offered to diabetes professionals to help them get the most out of a virtual consultation .
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