Shocked! Diabetics are four times more likely to die from COVID-19!
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Last Update: 2020-05-13
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Source: Internet
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Author: User
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MAY 13, 2020 /
PRNEWSWIRE
BIOON/-A-NEW STUDY SHOWS THAT PATIENTS WITH
DIABETES
OR PEOPLE WITH POOR BLOOD SUGAR CONTROL WHO ARE HOSPITALIZED WITH COVID-19 HAVE HIGHER MORTALITY RATESThe study found a fourfold increase in hospital mortality and length of hospital stay for patients with these symptoms, according to a news release, according to a news release, in a peer-reviewed study supported by Glytec, an insulin managementsoftware, published recently in Journal of Diabetes Science and Technologystudy looked at 1,122 patients hospitalized in the U.Sfor COVID-19 between March 1 and April 6, and data from 88 hospitals in 11 states was collected and sent to Glytec's database, all of whom were diagnosed with COVID-1940 percent of the participants haddiabetes
or high blood sugar, which meant they had high blood sugar levels, or A1C levels above or equal to 6.5 percentHyperglycemia is defined as two or more times during hospitalization with a blood glucose monitoring reading of more than 180 mg/dLimage source: https://cn.bing.com
what's the result?researchers found that patients withdiabetesor hyperglycemia had a 29 percent hospital mortality rate, compared with 6 percent for patients without these symptomsA more surprising figure in the report is that 42 percent of patients who were not diagnosed with before being admitted to hospital diabetes but who had high blood sugar-related deaths during hospitalization While diabetes and high blood sugar are risk factors for deaths in COVID-19 patients, the 42 percent mortality rate is still surprising, said Dr Bruce Bode, a medical associate professor at emory University School of Medicine at The Atlanta Diabetes And diabetes specialist and lead researcher "it's almost seven times as many as people without hyperglycemia and diabetes," added Bode, a member of Glytec's scientific advisory board Dr Utpal Pajvani, an assistant professor of clinical medicine at Columbia University in , said the study showed that people with diabetes were at higher risk of complications, and the data came from recent hospitalizations in China he called the findings of the new report "important and timely" but added that "the data have significant limitations." " for example, these data do not distinguish between type 1 diabetes, which is caused by autoimmune destruction of insulin-producing pancreatic beta cells, and type 2 diabetes, which is caused by obesity, which causes insulin tolerance Another limitation is that these data do not distinguish between COVID-19 complications in patients with well-controlled and poorly controlled diabetes Pajvani explains that when other infectious diseases are involved, poorly managed diabetes usually increases the risk of other complications , on the other hand, well-controlled diabetes does not, or at least leads to, milder complications what should diabetics know about COVID-19? what advice does Pajvani have for his diabetes? He said he told them to take "reasonable precautions to avoid contracting COVID-19", just like anyone else means working from home, keeping a safe physical or social distance, and washing hands properly if they are capable In addition to these recommendations, Pajvani stressed that they should strive to keep blood sugar levels "under control." This equates to a Level of A1C below 7% When it comes to what people should get from the new study, Bode added, "It's important to understand that this study doesn't simply put diabetes as a risk factor for death; Bode said that as the hospital system becomes chaotic in this crisis, people with type 1 diabetes who eventually develop diabetic ketoacidosis (a life-threatening complication) and need hospitalization "may see their condition different from normal." Bode said: "That's why it's important to ensure that all patients have access to insulin, medication and the supply they need to control their blood sugar at home so they can stay out of the hospital safely." "
why are health care providers worried?" asked if the findings of the new study reflected what he saw on the front line, Pajvani said: "Yes." "
he agrees with Bode that COVID-19 data have shown pre-existing cases of diabetes or new diseases, which in some cases lead to an increasing number of DKA cases Pajvani added: "The cause of this situation requires further research, which will keep my laboratory and other laboratories busy trying to find out why this is happening and how we can prevent it." Bode said hospitals now have reason to be concerned about "the need to strike a balance between blood sugar management and health care safety, reduce the waste of personal protective equipment (PPE) and limit unnecessary contact with patients." added that unless there is more understanding of the possible impact of poor blood sugar management on the prognosis of COVID-19 patients, hospitals should "seriously consider following the National Blood Sugar Management Guidelines." will blood sugar control be a top priority for hospitals? Pajvani said it was a top priority for PATIENTs with COVID-19 to require a lot of "supportive treatment" to improve their oxygenation " but for DKA patients, dealing with this potential life-threatening threat is equally important Pajvani says that when a diabetic is hospitalized, the management of their condition shifts from them to their medical team Under normal circumstances, nurses and medical assistants check their blood sugar levels several times a day image source: https://cn.bing.com
but in the present situation, these medical workers' multiple visits increase their own risk Pajvani said: "Our inpatient diabetes team at Columbia University, led by Dr Magdalena Bogun, is implementing a system that can reduce these risks through continuous blood glucose monitoring This will help better monitor a patient's blood sugar levels while reducing the risk of COVID-19 transmission to health care providers Bode says that through insulin administration software , critically ill patients can usually completely solve their hyperglycemia problems within a few hours through intravenous insulin because of the standardization of glucose, frequent tests by hospital staff are less frequent Pajvani added that, usually in outpatient situations, one of the primary responsibilities of health care providers is to ensure that patients maintain their blood sugar at target levels to avoid unnecessary emergencies this requires vigilance on the condition of vigilance on the one being both the supplier and the patient Reducing the number of hospital visits is more important than ever "I'm lucky enough to work with good nurses, diabetes educators and front desk staff who can help keep our patients safe," In fact, our outpatients are busier than usual, and they watch by phone and video Bode says he and his team are working on several other research projects on diabetes and COVID-19 they include how the current health crisis has changed the way DKA is treated in patients with type 1 diabetes and how blood sugar management affects patients with COVID-19 (BioValleyBioon.com) References: COVID-19 StudyShowMoreS
4TimesIn-Hospital Mortality Rate and Plusd Stayfor PatientsWithAndHyperglycemia
Riskof MortalfromVID-19TimesGreaterGreaterGreater Glycemic Senses and Clinical OutcomesofCOVID-19 Patients'sintheUnited States JDiabetesSciTechnol.2020; press.
4 WHO ReportoftheWHO-China Joint Missionon Coronavirus Disease2019 (COVID-19) February, 2020
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