Abstract
Diabetes mellitus (DM) is one of the most common comorbid conditions in persons with COVID-19 and a risk factor for poor prognosis. The reasons why COVID-19 is more severe in persons with DM are currently unknown although the scarce data available on patients with DM hospitalized because of COVID-19 show that glycemic control is inadequate. The fact that patients with COVID-19 are usually cared for by health professionals with limited experience in the management of diabetes and the need to prevent exposure to the virus may also be obstacles to glycemic control in patients with COVID-19. Effective clinical care should consider various aspects, including screening for the disease in at-risk persons, education, and monitoring of control and complications. We examine the effect of COVID-19 on DM in terms of glycemic control and the restrictions arising from the pandemic and assess management of diabetes and drug therapy in various scenarios, taking into account factors such as physical exercise, diet, blood glucose monitoring, and pharmacological treatment. Specific attention is given to patients who have been admitted to hospital and critically ill patients. Finally, we consider the role of telemedicine in the management of DM patients with COVID-19 during the pandemic and in the future.
Highlights
Hyperglycemia information on the safety and efficacy of these protocols and their application is lacking [65]. While waiting for these strategies to be evaluated, and faced with the urgent need to implement effective approaches to glycemic control in hospitalized patients with COVID-19, we recently proposed a series of recommendations on management of hyperglycemia in the critical setting and noncritical care setting, taking into account factors such as the need to prevent staff exposure and the fact that many health professionals caring for patients with COVID-19 may be relatively unfamiliar with management of hyperglycemia [65]
In order to minimize the consequences of this situation, it is necessary to guarantee that patients receive efficient clinical care that takes into account various services, including screening for the disease in at-risk persons, education, and monitoring of control and complications at face-to-face or remote visits as well as adaptation of treatment of Diabetes mellitus (DM) in the setting of COVID-19
Diabetes is one of the most common comorbidities linked to COVID-19, and there is consistent evidence that diabetes increases the risk of severe COVID-19 disease, including admission to the intensive care unit and death
Summary
Diabetes mellitus (DM) is a medical condition that can have a considerable impact on affected persons and on society owing to the high costs associated with its care, especially those arising from complications. In addition to the direct effects on health, the absence of regular care owing to closure of outpatient clinics and social isolation—combined with changes in diet, physical activity, and personal care—favors deterioration of disease control and hampers detection of complications. This study examines the impact of the COVID-19 pandemic on persons with DM and covers implications for health in the short and long terms. It examines how to address the threat to persons with DM arising from more limited health services and changes in lifestyle resulting from the pandemic
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
