Diabetes And COVID-19: Study Shows That It Is Critical For Diabetics Infected With COVID-19 To Control Blood Sugar
Diabetes and COVID-19
: A new research shows that people with type 2 diabetes (T2D) are at greater risk of a poor outcome should they become infected with the SARS-CoV-2 coronavirus that causes COVID-19. However there is some positive news: people with T2D whose blood sugar is well controlled fare much better than those with more poorly controlled blood sugar.https://www.sciencedirect.com/science/article/pii/S1550413120302382?via%3Dihub
Senior author Dr Hongliang Li of Renmin Hospital of Wuhan University told Thailand Medical News, "We were surprised to see such favourable outcomes in well-controlled blood glucose group among patients with COVID-19 and pre-existing type 2 diabetes. Considering that people with diabetes had much higher risk for death and various complications, and there are no specific drugs for COVID-19, our findings indicate that controlling blood glucose well may act as an effective auxiliary approach to improve the prognosis of patients with COVID-19 and pre-existing diabetes."
Currently more than 500 million individuals around the world have T2D. While it was clear that individuals with this condition fare worse with COVID-19, the researchers wondered what role a person's blood glucose control might have on those outcomes.
The research team conducted a retrospective longitudinal multi-centered study including 7,337 confirmed COVID-19 patients enrolled among 19 hospitals in Hubei Province, China. Of those, 952 individuals had T2D and the other 6,385 did not. Among those with diabetes, 282 had well-controlled blood glucose; the other 528 did not.
The research findings showed that individuals admitted to the hospital with COVID-19 and T2D required more medical interventions. Despite those interventions, they also had significantly higher mortality (7.8% vs. 2.7%) as well as a greater incidence of multiple organ injury.
Those with well-controlled blood sugar and COVID-19 however were less likely to die than those whose blood glucose was poorly controlled. Meanwhile, those with well-managed T2D also received less of other medical interventions including supplemental oxygen and/or ventilation, and had fewer health complications.
The medical researchers say the new findings offer three main messages for people with diabetes:
-Individuals with diabetes have a higher risk to die from COVID-19 and develop more severe complications after infection. Therefore, they should take extra precautions to avoid becoming infected.
-Individuals with diabetes should take extra care to keep their blood sugar under good control during the pandemic.
-Infected patients with diabetes should have their blood glucose level controlled to maintain it in the right range, in addition to any other needed treatments.
The medical researchers say they will continue to study the relationship between T2D and COVID-19 outcomes. The hope is to learn more about the underlying biology that is leading to poorer outcomes for people with T2D and high blood sugar.
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