Related Experiment Video
Updated: Nov 29, 2025

A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
Published on: July 5, 2022
[Covid-19 and diabetes]
1Liège Université, Service de Diabétologie, Nutrition et Maladies métaboliques, CHU Liège, Belgique.
Insights
Diabetes significantly increases the risk of severe COVID-19 outcomes. Early insulin therapy is suggested for type 2 diabetes patients hospitalized with COVID-19, but further research is needed.
Area of Science:
- Infectious Diseases
- Endocrinology
- Critical Care Medicine
Background:
- Diabetes mellitus is a critical comorbidity associated with severe outcomes in SARS-CoV-2 infections.
- Diabetic patients exhibit a 2-3 fold higher hospitalization rate in ICUs for COVID-19 and a 3-4 fold increased risk of critical or fatal disease progression.
- Mechanisms linking diabetes to severe COVID-19 include hyperglycemia, immune dysfunction, obesity, and hypertension.
Purpose of the Study:
- To review the link between diabetes and severe COVID-19.
- To discuss the challenges and potential strategies for managing diabetes in COVID-19 patients.
- To highlight the need for further research on optimal antidiabetic treatment.
Main Methods:
- Literature review and synthesis of existing data on diabetes and COVID-19.
- Analysis of epidemiological data and proposed pathophysiological mechanisms.
- Discussion of clinical management recommendations and future research directions.
Main Results:
- Diabetes is a major risk factor for severe COVID-19, critical illness, and mortality.
- Multiple diabetes-related and associated factors contribute to increased COVID-19 severity.
- Optimizing glycemic control is crucial but challenging; early insulin introduction is recommended for hospitalized type 2 diabetes patients.
Conclusions:
- Diabetes significantly elevates the risk of severe COVID-19.
- Effective management strategies, including glycemic control and appropriate antidiabetic treatments, are essential for improving outcomes.
- Further research is imperative to establish optimal treatment protocols and enhance prognosis for high-risk diabetic patients with COVID-19.
Abstract:
Diabetes is one of the most important comorbidities linked to the severity of infection caused by severe acute respiratory syndrome coronavirus (SARS-CoV-2). The prevalence of diabetic patients hospitalized in intensive care units for COVID-19 is two-to-threefold higher than that observed in non-diabetic patients and a risk of progressing to critical or fatal disease is increased by a factor of 3 to 4 in patients with diabetes. Multiple mechanisms link diabetes as a risk factor of severe COVID-19, including both diabetes-related (such as hyperglycaemia) and diabetes-associated (such as immune dysfunction, obesity and hypertension) components. Optimising glycaemic control to reduce the risk of severe COVID-19 appears important but challenging and the best choice of antidiabetic treatment remains to be established, even if an early introduction of insulin in type 2 diabetes patients with COVID-19 is encouraged upon admission to the hospital. Future investigations are necessary to improve both the management and the prognosis in these very high risk patients.
More Related Videos
Related Concept Videos
Psychoneuroimmunology: Diabetes and Cancer
Overview of Carbohydrate Metabolism
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Diabetes Mellitus: Type 2 and Gestational
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Diabetes: Symptoms, Diagnosis, and Complications
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...

