Long-COVID, Metabolic and Endocrine Disease
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Updated: Sep 7, 2025

A Zebrafish Model of Diabetes Mellitus and Metabolic Memory
Published on: February 28, 2013
Stefan R Bornstein1,2, Diana Cozma1, Margrit Kamel3
1Department of Medicine III, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.
Insights
Long-COVID, a post-acute COVID-19 syndrome, affects up to 40% of infected individuals, causing chronic fatigue and cognitive issues. Management includes rehabilitation, diet, and potentially apheresis for symptom improvement.
Area of Science:
- Public Health
- Infectious Diseases
- Endocrinology
Background:
- Long-COVID (post-acute COVID-19 syndrome) remains a significant global health challenge post-pandemic.
- Up to 40% of SARS-CoV-2 infected individuals experience persistent, clinically relevant symptoms weeks to months after acute infection.
- Key symptoms include chronic fatigue, dyspnea, and cognitive dysfunction, impacting quality of life.
Purpose of the Study:
- To highlight the ongoing challenge of long-COVID and its impact.
- To identify risk factors and potential long-term complications.
- To emphasize the importance of structured management strategies for affected individuals.
Main Methods:
- Review of current studies on long-COVID prevalence and symptoms.
- Identification of risk factors such as overweight and diabetes mellitus.
- Discussion of potential therapeutic interventions including rehabilitation, diet, and apheresis.
Main Results:
- Overweight and diabetes mellitus are associated with an increased risk of long-COVID symptoms.
- Steroid treatments for acute and long-COVID may lead to metabolic and endocrine disorders.
- Structured rehabilitation, physical activity, and dietary management are crucial.
Conclusions:
- Long-COVID presents a substantial and ongoing health burden requiring comprehensive management.
- Integrated rehabilitation, lifestyle interventions, and targeted therapies like apheresis show promise for symptom amelioration.
- Addressing metabolic and endocrine complications is vital for long-COVID patient care.
Abstract:
In the aftermath of the corona pandemic, long-COVID or post-acute COVID-19 syndrome still represents a great challenge, and this topic will continue to represent a significant health problem in the coming years. At present, the impact of long-COVID on our health system cannot be fully assessed but according to current studies, up to 40% of people who have been infected with SARS-CoV-2 suffer from clinically relevant symptoms of long-COVID syndrome several weeks to months after the acute phase. The main symptoms are chronic fatigue, dyspnea, and various cognitive symptoms. Initial studies have shown that people with overweight and diabetes mellitus have a higher risk of developing long-COVID associated symptoms. Furthermore, repeated treatment of acute COVID-19 and long-COVID with steroids can contribute to long-term metabolic and endocrine disorders. Therefore, a structured program with rehabilitation and physical activity as well as optimal dietary management is of utmost importance, especially for patients with metabolic diseases and/or long-COVID. Furthermore, the removal of autoantibodies and specific therapeutic apheresis procedures could lead to a significant improvement in the symptoms of long-COVID in individual patients.
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