"Lancet" sub-issue: 36-year-old diagnosed with diabetes after contracting new coronary pneumonia!

The COVID-19 pandemic has entered its fourth year, and the number of recovered patients and reinfection cases has been increasing

At present, the severe and case fatality rate seems to have dropped significantly, and the [long-term symptoms] brought about by the new coronary pneumonia requires us to pay more attention!

In addition to known sequelae such as extreme fatigue, shortness of breath, chest pain or tightness, problems with memory and concentration ("brain fog"), changes in taste and smell, and joint pain

Recently, another COVID-19 sequelae was discovered: a 46% increased risk of developing the disease, and there is currently no cure!

11 months after contracting COVID-19: Diabetes discovered

More than a year after recovering from COVID-19, Jennifer Hobbs is struggling to adjust to her new normal — brain fog, joint pain, elevated liver enzymes and now type 2 diabetes

Before contracting COVID-19, Hobbs had symptoms of prediabetes, but her blood sugar levels were under control and did not require any treatment

"Even on two different medications, my blood sugar is a mess every morning," said Hobbs, 36.

Claudia Mendez, 45, was diagnosed with type 2 diabetes in urgent care 11 months after contracting COVID-19

These studies do not imply that specific cases of diabetes, such as Mendez and Hobbs, are directly caused by the novel coronavirus, but are changing how doctors think about the relationship between the two conditions

Now, COVID-19 may need to be considered a risk factor for diabetes

An important message for clinicians is that knowing someone has COVID-19 should increase awareness of potential diabetes screening

Patients recovering from COVID-19: 40% more likely to be diagnosed with diabetes!

Recent studies report that people who have recovered from COVID-19 are 40% more likely to be newly diagnosed with type 2 diabetes, a strong link between COVID-19 and diabetes

Researchers at the St.

As of Monday, 79.

Dr.

Dr.

Over the past year or so, some patients have developed long-term symptoms beyond fatigue and brain fog, and people are developing new-onset diabetes

Among people with diabetes, more than 99% develop the most common type of diabetes:

• Type 2 diabetes accounts for about 90% of diabetes cases, the other being type 1 diabetes and gestational diabetes

  
  

• Type 2 diabetes is a chronic metabolic disease characterized by hyperglycemia, relative insulin deficiency, and insulin resistance
  .
  

• Common symptoms include polydipsia, frequent urination, unexplained weight loss, and may include overeating, fatigue, or persistent pain, which usually occurs slowly
  .
  

• Type 2 diabetes is a chronic disease that can reduce life expectancy by 10 years
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Part of the reason for the reduction in life expectancy is related complications, including a two- to four-fold higher risk of cardiovascular disease, including ischaemic heart disease and stroke, compared to healthy individuals
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Lower extremity amputations will increase by a factor of 20, as will hospitalizations
.

Type 2 diabetes is the leading cause of non-traumatic blindness and kidney failure in developed countries and is increasing in other countries as well
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Over the course of the disease, patients are at increased risk of developing cognitive impairment and dementia, such as Alzheimer's disease and vascular dementia
.

The study, published Monday in the journal Lancet: Diabetes and Endocrinology, used data from the U.
S.
Department of Veterans Affairs between March 1, 2020, and September 30, 2021
.

The study compared more than 181,000 Covid-19-positive patients with more than 4.
1 million uninfected patients over the same period, as well as an additional 4.
28 million patients treated at the Veterans Administration in 2018 and 2019
.

Dr.
Al-Aly said the team initially thought the increased risk would only be seen in people with diabetes risk factors, such as obesity, but the findings showed that the risk was evident in all populations
.

"It's evident in blacks and whites; it's evident in young and old; it's evident in men and women
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Most importantly, even in people without any risk factors for diabetes, this Not at all obvious
.
"

Even in people with low or no diabetes risk factors, the risk of developing diabetes after COVID-19 increased by 38 percent, according to an article published last week in The Lancet
.

The more severe a person's COVID-19 infection, the higher their risk of developing diabetes
.

People treated in intensive care units had a 276% increased risk of developing diabetes
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This may be related to the use of steroids in acute care in some patients, which may increase blood sugar levels
.

Not a month or two after recovery, but a year after recovery
.

In children, the overall risk of newly diagnosed diabetes was even greater
.

A January report from the U.
S.
Centers for Disease Control and Prevention found that children infected with COVID-19 were more than 2.
5 times more likely to be diagnosed with diabetes than children who were not diagnosed within a month of infection
.

But the new study isn't the first to link COVID-19 infection with diabetes
.

People who have recovered from COVID-19 have a 28 percent increased risk of developing type 2 diabetes, researchers at the Leibniz Center for Diabetes Research at Heinrich Heine University in Germany found in a study published last week
.

COVID-19 and diabetes: which one causes the other?

In the third year of the pandemic, scientists and doctors have turned their attention to the long-term consequences of COVID-19, the so-called "coronavirus long-term sequelae
.
"

Experts already know that people with diabetes are at higher risk of contracting COVID-19, but now there's a new link -- COVID-19 infection may lead to a higher risk of diabetes
.
Recent research has added diabetes to a long list of possible COVID-19 outcomes
.

Theories about a link between inflammation caused by viral infections and diabetes have been circulating for years
.
However, according to Dr.
Robert Gabe, chief scientific and medical officer of the American Diabetes Association, this is the first study to show such a clear relationship between diabetes and a specific virus
.

Theories have emerged about how COVID-19 increases diabetes risk, but none have been proven or disproved
.
"

One theory is that COVID-19 triggers inflammation that may impair insulin secretion and sensitivity
.
"There are some studies that do show that SARS-CoV-2 can attack pancreatic beta cells, if not more permanently, at least temporarily
.
" The cells are insulin-producing pancreatic cells
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As these cells are destroyed by the new coronavirus infection, the body may lose its ability to make insulin
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This is similar to the situation with type 1 diabetes, an autoimmune disease in which the body destroys its own beta cells so that it cannot make insulin
.

The second is that low levels of acute post-COVID-19 inflammation, even in asymptomatic or milder cases, may lead to short-term insulin resistance, leading to a chain reaction of long-term insulin resistance
.

A second theory may better explain the development of type 2 diabetes, the most common type of diabetes in which the body is still making insulin, but is becoming more and more resistant to insulin and unable to respond
.
Type 2 diabetes accounts for more than 99% of diabetes cases diagnosed after recovery from COVID-19, the Al-Aly study found
.

Other factors may also contribute to an increased risk of diabetes
.
For example, after contracting COVID-19, people may stay home for some time, eat differently, and not exercise
.
Life>
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People with newly diagnosed diabetes after COVID-19 tend to be younger, black or Hispanic, and underinsured, a study led by Cromer found
.
"We believe that many of these people may already have diabetes but not be diagnosed because they are not covered by Medicare
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"

Long-Term Challenges: Post-COVID-19 Chronic Disease Care

With diabetes added to the list of post-coronavirus complications, experts fear it will have a huge impact on an already strained health care system
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Dr Al-Aly said: "Inevitably, this is going to create a huge number of new people with diabetes
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This will have very serious downstream impacts, requiring lifelong care .
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I think we need to be ready to really build the capacity to manage these patients
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"

The question is, is the U.
S.
healthcare system prepared for the surge in chronic diseases brought on by the pandemic? The Al-Aly team also recently found a 60 percent increase in cardiovascular disease rates among people who have recovered from COVID-19
.

Dr Al-Aly said the best way to reduce the risk of diabetes is for people to prevent Covid-19 infection in the first place by getting vaccinated
.

But for people already infected with the virus, diabetes warning signs they should be aware of include excessive thirst and frequent urination
.
Dr Al-Aly said: "These are symptoms of diabetes that need to be checked, detected early, treated or nipped in the bud, which is better than neglect and suffering for years before the more serious health consequences are discovered
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"