COVID-19 and type 1 diabetes: dealing with the difficult duo

Subhankar Chowdhury1, Soumik Goswami2

  • 1Department of Endocrinology and Metabolism, IPGME&R and SSKM Hospital, Kolkata, India.

Insights

This review addresses the unique challenges of Coronavirus disease 2019 (COVID-19) in patients with type 1 diabetes (T1D). More research is needed to fully understand and manage this complex interaction.

Area of Science:

  • Endocrinology
  • Infectious Diseases
  • Public Health

Background:

  • Coronavirus disease 2019 (COVID-19) poses significant health risks, especially for individuals with diabetes.
  • Existing research on COVID-19 and diabetes primarily focuses on type 2 diabetes (T2D).
  • Type 1 diabetes (T1D) patients face distinct challenges during the COVID-19 pandemic.

Purpose of the Study:

  • To review existing literature, guidelines, and websites concerning type 1 diabetes and COVID-19.
  • To address key questions and concerns for T1D patients during the pandemic.
  • To consolidate current evidence on the intersection of T1D and COVID-19.

Main Methods:

  • Systematic literature search of the PubMed database up to May 31, 2020.
  • Inclusion of all articles related to type 1 diabetes and COVID-19.
  • Narrative review methodology to synthesize findings.

Main Results:

  • Identified 18 relevant articles discussing T1D and COVID-19.
  • Evidence covers COVID-19 risk in T1D, impact on T1D development, outcomes, and management.
  • Findings highlight specific risks and management considerations for T1D patients with COVID-19.

Conclusions:

  • Managing COVID-19 in patients with type 1 diabetes presents unique difficulties.
  • Current evidence provides some insights but is insufficient for comprehensive management.
  • Further research is crucial to address the complexities of COVID-19 in type 1 diabetes.
Abstract

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