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Severity of COVID-19 and Treatment Strategy for Patient With Diabetes
1Department of Endocrinology, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
Insights
This review examines how diabetes and its comorbidities impact COVID-19 severity. It highlights the need for targeted therapeutic strategies for diabetic patients facing SARS-CoV-2 infection.
Area of Science:
- Infectious Diseases
- Endocrinology
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19) rapidly became a global pandemic.
- Patients with comorbidities like diabetes face higher risks of severe COVID-19 symptoms and mortality.
- The specific role of diabetes, its comorbidities, and treatments in COVID-19 prognosis remains unclear.
Purpose of the Study:
- To review existing evidence on potential risk factors for severe COVID-19 in diabetic patients.
- To identify gaps in current understanding regarding diabetes and COVID-19 outcomes.
- To explore the need for novel therapeutic strategies for SARS-CoV-2 in individuals with diabetes.
Main Methods:
- Systematic review of existing scientific literature.
- Analysis of clinical trial data on glucose-lowering agents.
- Evaluation of reported COVID-19 cases with pre-existing diabetes.
Main Results:
- Diabetes and associated conditions are linked to increased COVID-19 severity and mortality.
- Current treatment protocols for COVID-19 in diabetic patients are not standardized.
- Further research is needed to elucidate the complex interplay between diabetes and SARS-CoV-2.
Conclusions:
- Understanding the risk factors is crucial for managing COVID-19 in diabetic populations.
- Development of specific therapeutic interventions for diabetic COVID-19 patients is urgently required.
- Addressing the unique challenges faced by diabetic individuals during the pandemic is essential.
Abstract:
Coronavirus disease 2019 (COVID-19), which was named by the World Health Organization (WHO) in February 2020, has quickly spread to more than 200 countries around the world and was declared as a global pandemic in March 2020. The severity of the disease makes it more prone to severe symptoms and higher mortality rates in patients, especially those who are with comorbidities, including high blood pressure, cardiovascular disease, obesity, and diabetes, increases the concern over the consequences of this pandemic. However, initial reports do not clearly describe whether diabetes itself or associated comorbidities or treatment strategies contribute to the severe prognosis of COVID-19 infections. Various clinical trials are being conducted on glucose-lowering agents but to date, there is no standard treatment protocol approved for COVID-19 cases with pre-existing diabetes. This review is aimed to decipher the potential risk factors of COVID-19 involved from existing evidence. Identification of a novel therapeutic strategy could be beneficial for combating SARS-CoV-2, which might be dreadful to debilitating people who have diabetes.
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