DIABETES AND THE ENDOCRINE PANCREAS I: Edited by Matthew FreebyTelehealth in type 1 diabetesKompala, Tejaswia; Neinstein, Aaron B.a,b Author Information aDepartment of Medicine bCenter for Digital Health Innovation, University of California, San Francisco, San Francisco, California, USA Correspondence to Aaron B. Neinstein, MD, Department of Medicine, University of California, San Francisco, 1700 Owens Street, Suite 541, San Francisco, CA 94158, USA. Tel: +1 415 476 5397; e-mail: [email protected] Current Opinion in Endocrinology & Diabetes and Obesity 28(1):p 21-29, February 2021. | DOI: 10.1097/MED.0000000000000600 Buy Metrics Abstract Purpose of review The role of telehealth in the care of people with type 1 diabetes (T1D) has expanded dramatically during the coronavirus pandemic, and is expected to remain a major care delivery modality going forward. This review explores the landscape of recent evidence for telehealth in T1D care. Recent findings Telemedicine for routine T1D care has shown equivalence to standard in-person care, with respect to glycemic control, while also increasing access, convenience, and satisfaction. Telehealth use promotes increased engagement of adolescents with T1D. Telehealth platforms have successfully been used in the care of microvascular complications and to support mental health related to diabetes. Machine learning and advanced decision support will increasingly be used to augment T1D care, as recent evidence suggests increasing capabilities to improve glycemic control. A spectrum of digital connected care services are emerging to support people with diabetes with daily management of diabetes. Finally, policy and systems are required that promote data interoperability, telemedicine provision, and reimbursement to support the ongoing growth of telehealth in T1D. Summary A developing field of evidence supports use of telehealth in T1D. As this care modality scales, it has the potential to increase access to high-quality diabetes care for many people with T1D. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.