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A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
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Importance of diabetes management during the COVID-19 pandemic

Jeremy Pettus1, Neil Skolnik2

  • 1University of California, School of Medicine, San Diego, CA, USA.

Postgraduate Medicine
|October 4, 2021
PubMed

Insights

Primary care physicians are crucial for managing diabetes and hyperglycemia in patients with COVID-19. Maintaining glycemic control is vital to reduce severe outcomes and mortality associated with the virus.

Area of Science:

  • Endocrinology
  • Infectious Diseases
  • Primary Care Medicine

Background:

  • Uncontrolled diabetes and hyperglycemia significantly increase COVID-19 severity and mortality risk.
  • Poor glucose control pre-hospitalization correlates with higher in-hospital death rates.
  • Primary care physicians (PCPs) are essential in managing glycemic control to mitigate COVID-19 complications.

Purpose of the Study:

  • To review current knowledge on diabetes, hyperglycemia, and COVID-19 risks and outcomes.
  • To provide guidance for PCPs on managing diabetic patients during the COVID-19 pandemic.
  • To emphasize the role of glucose control, telemedicine, and online prescriptions.

Main Methods:

  • Literature review of existing research on COVID-19 and diabetes.
  • Synthesis of information relevant to the primary care setting.
  • Focus on practical advice for PCPs.

Main Results:

  • COVID-19 poses severe risks to individuals with diabetes, particularly those with poor glycemic control.
  • PCPs face increasing numbers of patients with diabetes experiencing COVID-19 infection, post-COVID symptoms, or new-onset diabetes.
  • Telemedicine and online prescription delivery are valuable tools for managing these patients.

Conclusions:

  • Effective glucose control is paramount for improving outcomes in diabetic patients with COVID-19.
  • PCPs require specific guidance to address the unique challenges posed by COVID-19 in diabetic populations.
  • Proactive management strategies, including telemedicine, are crucial for limiting the impact of COVID-19 on individuals with hyperglycemia.

Keywords:
COVID-19diabeteshemoglobin A1chyperglycemiaprimary care

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