What Happens After a Telemedicine Visit for Type 2 Diabetes (Follow-up) in Children

Audience: pediatric

After a telemedicine visit for Type 2 Diabetes in children, families often receive guidance on managing blood sugar levels, medication adjustments, and lifestyle changes. The healthcare provider may review recent blood sugar readings, discuss diet and exercise, and plan further tests or in-person visits if needed. Follow-up appointments help track progress and adjust treatment to keep diabetes under control. Telemedicine can make it easier to stay connected with your healthcare team, but some concerns may require a face-to-face visit. It is important to watch for warning signs like very high or low blood sugar, new symptoms, or medication problems. This guide helps families understand what to expect after a telemedicine visit and how to prepare for ongoing care.

Red flags — go in person / ER

• Blood sugar readings consistently below 70 mg/dL (hypoglycemia) or above 300 mg/dL (hyperglycemia) — seek urgent medical care.
• Signs of diabetic ketoacidosis such as nausea, vomiting, abdominal pain, rapid breathing, or confusion — go to emergency care immediately.
• New or worsening symptoms like severe fatigue, vision changes, or difficulty breathing — contact your healthcare provider promptly.

What telemedicine can do

• Routine follow-up appointments to review blood sugar logs and symptoms.
• Medication adjustments based on reported data.
• Diet and exercise counseling.
• Ordering lab tests and reviewing results remotely.
• Answering questions about diabetes management.

What telemedicine cannot do

• Emergency situations such as severe hypoglycemia or diabetic ketoacidosis.
• Physical examinations requiring hands-on assessment.
• Procedures or tests that must be done in person.
• New symptoms that require urgent evaluation.
• Administration of injectable medications or insulin adjustments needing direct supervision.

What to Expect Right After Your Telemedicine Visit

After your telemedicine visit, your healthcare provider may send a summary of the visit, including any changes to medications or advice on diet and exercise. They might also schedule follow-up appointments or order lab tests to check blood sugar control. Make sure you understand the plan and ask questions if anything is unclear.

Monitoring Blood Sugar and Symptoms at Home

You will likely be asked to check your child's blood sugar regularly at home. Keep a log of these readings to share with your provider. Watch for symptoms like increased thirst, frequent urination, fatigue, or mood changes, and report these during follow-ups or sooner if they worsen.

When In-Person Care May Be Needed

Sometimes, your child may need to see a healthcare provider in person. This can happen if blood sugar levels are very high or low, if new symptoms develop, or if physical exams or tests are needed that cannot be done remotely. Your telemedicine provider will guide you if an in-person visit is necessary.

How to Prepare for Future Telemedicine Visits

Before your next telemedicine appointment, gather your child's blood sugar records, medication list, and any questions you have. Ensure your technology works well and that you have a quiet, private space for the visit. This preparation helps make the visit more effective.

Supporting Your Child’s Health Between Visits

Encourage healthy eating, regular physical activity, and taking medications as prescribed. Keep communication open with your healthcare team and report any concerns early. Managing Type 2 Diabetes is a team effort involving your child, family, and healthcare providers.

How to prepare for your tele-visit

• Have recent blood sugar readings recorded and ready to share.
• List all current medications and doses.
• Prepare any questions or concerns you want to discuss.
• Ensure your device (computer, tablet, or phone) is charged and has a stable internet connection.
• Find a quiet, private space for the telemedicine visit.
• Have a family member or caregiver available if your child needs assistance during the visit.

After your tele-visit

• Follow the healthcare provider’s instructions on medication changes and lifestyle advice.
• Schedule any recommended lab tests or in-person visits.
• Keep monitoring your child’s blood sugar and symptoms as directed.
• Contact your healthcare provider if you notice any red flag symptoms.
• Prepare for the next telemedicine visit by updating your records and questions.

FAQs

Can telemedicine visits replace all in-person diabetes care for my child?

Telemedicine is helpful for many follow-up visits and managing daily care, but it cannot replace all in-person visits. Some exams, tests, and emergencies require face-to-face care.

How often will my child need follow-up visits for Type 2 Diabetes?

Follow-up frequency varies but often includes visits every 3 to 6 months. Your healthcare provider will recommend the best schedule based on your child's condition.

What should I do if my child’s blood sugar is very high or very low between visits?

If blood sugar is very low (below 70 mg/dL) or very high (above 300 mg/dL), follow your provider’s emergency plan. If symptoms are severe or do not improve, seek urgent medical care immediately.

Can I get prescriptions or medication refills through telemedicine?

Yes, providers often can prescribe or refill medications during telemedicine visits, but this depends on local regulations and the provider’s assessment.

How can I help my child manage Type 2 Diabetes at home?

Support healthy eating, regular physical activity, medication adherence, and regular blood sugar monitoring. Keep open communication with your healthcare team for guidance and support.

Sources

1. Type 2 Diabetes in Children and Teens — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Managing Diabetes — Centers for Disease Control and Prevention (CDC).
3. Type 2 Diabetes in Children and Adolescents — American Academy of Pediatrics (AAP).
4. Diabetes Care and Education During the COVID-19 Pandemic — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child experiences emergency symptoms or worsening health, seek immediate medical attention.