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Published on: July 5, 2022
Acute Hyperglycemic Crises with Coronavirus Disease-19: Case Reports
Na Young Kim1, Eunyeong Ha2, Jun Sung Moon2
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Insights
Patients with diabetes experiencing severe COVID-19 may develop acute hyperglycemic crises. Intensive monitoring and supportive care are crucial for managing these high-risk individuals.
Area of Science:
- Infectious Diseases
- Endocrinology
- Critical Care Medicine
Background:
- Coronavirus disease-19 (COVID-19) has emerged globally, with significant impact in Korea.
- Patients with diabetes mellitus exhibit increased mortality and poorer prognosis when infected with COVID-19.
- COVID-19 infection can precipitate acute hyperglycemic crises, including diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS), particularly in poorly controlled diabetes.
Abstract:
Since the first case was contracted by coronavirus disease-19 (COVID-19) in Daegu, Korea in February 2020, about 6,800 cases and 130 deaths have been reported on April 9, 2020. Recent studies have reported that patients with diabetes showed higher mortality and they had a worse prognosis than the group without diabetes. In poorly controlled patients with diabetes, acute hyperglycemic crises such as diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS) also might be precipitated by COVID-19. Thus, intensive monitoring and aggressive supportive care should be needed to inadequately controlled patients with diabetes and COVID-19 infection. Here, we report two cases of severe COVID-19 patients with acute hyperglycemic crises in Korea.
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