How did general practitioners in Reunion experience the confinement linked to COVID-19, particularly in the follow-up of their diabetic patients ? ; Comment les médecins généralistes réunionnais ont vécu le confinement lié à la COVID-19 notamment dans le suivi de leurs patients diabétiques ?

Diabetic patients require regular follow-up and the confinement linked to Covid 19 seemed to disrupt this follow-up. In Reunion, general practitioners are on the front line to follow them. Our objective was to study the experience of the follow-up of diabetic patients, by their attending physician during confinement, in order to highlight the points which could be improved, in the event of new confinement. We carried out a qualitative study with semi-directed interviews, followed by an analysis using NVivo® software.Results: Different aspects in the follow-up of diabetic patients have been destabilized. The aspects concerned are global, psychological, dietary, physical activity, weight, biological monitoring and specialized monitoring. The other aspects have remained relatively stable, and concern the monitoring of therapeutic compliance, treatment renewals, clinical examination apart from ENT examination, with IDEs at home. The teleconsultations were generally badly experienced. Wearing a mask has altered communication and the doctor/patient relationship. Hand washing and disinfection of their equipment were more rigorous. The Covid 19 subject was frequent. There has been a clear decline in medical activity. Several aspects in the follow-up of diabetic patients have been destabilized with confinement, while others have not. The points that could be improved are: the aspects that have been disrupted, which are specific to each practitioner, the communication of information, teleconsultations, the organization of offices for barrier gestures, face-to-face patient consultations and finally the monitoring of frail patients. ; Les patients diabétiques nécessitent un suivi régulier et le confinement lié à la Covid 19 a semblé perturber ce suivi. A La Réunion, les médecins généralistes sont en première ligne pour les suivre. Notre objectif, a été d’étudier le vécu du suivi des patients diabétiques, par leur médecin traitant pendant le confinement, afin de faire ressortir les points qui pourraient être améliorés, en ...