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Diabetes and COVID-19 : Disease-Management-People

Slobodan Peric1,2, Thomas M Stulnig3,4

  • 1Third Department of Medicine with Metabolic Diseases and Nephrology, Hietzing Hospital with Neurological Center Rosenhuegel, Wolkersbergenstraße 1, 1130, Vienna, Austria.

Wiener Klinische Wochenschrift
|May 22, 2020
PubMed

Insights

Diabetes patients face severe COVID-19 risks, including higher mortality. The crisis necessitates improved telemedicine strategies for diabetes care, especially with limited clinic access.

Area of Science:

  • Endocrinology and Metabolic Diseases
  • Infectious Diseases

Background:

  • Diabetes mellitus significantly increases the risk of severe COVID-19 outcomes and mortality.
  • Patients with diabetes often have comorbidities that exacerbate COVID-19 severity.
  • Maintaining optimal glycemic control during infections is challenging for diabetes patients.

Purpose of the Study:

  • To highlight the challenges faced by diabetes patients during the COVID-19 pandemic.
  • To emphasize the need for adapting antidiabetic drug and insulin therapy.
  • To advocate for the implementation of telemedicine strategies in diabetes care.

Main Methods:

  • Review of existing literature on COVID-19 and diabetes complications.
  • Analysis of the impact of comorbidities on disease outcomes.
  • Discussion of challenges in outpatient clinic access during the pandemic.

Main Results:

  • Diabetes doubles the COVID-19 mortality risk, particularly with pulmonary and cardiac involvement.
  • Suboptimal glycemic control is common during infectious diseases.
  • Limited access to healthcare facilities hinders routine diabetes management.

Conclusions:

  • The COVID-19 pandemic presents unique challenges for diabetes management.
  • Urgent adaptation of treatment strategies, including telemedicine, is crucial.
  • The crisis offers an opportunity to advance diabetes patient care through innovative approaches.

Keywords:
Diabetes complicationsDiabetes therapySARS-CoV2TelemedicineViral pneumonia

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