长期持续的COVID引起的高血糖症:一个队列研究
Vrinda Goel1, Alpana Raizada1, Amitesh Aggarwal1
1Department of Medicine, University College of Medical Sciences, Delhi, India.
The American journal of tropical medicine and hygiene
|February 13, 2024
概括
许多患有COVID-19和高血糖症的患者,即使没有先前的糖尿病,也会经历持续高血糖六个月. 较高的初始葡萄糖水平增加了COVID-19感染后长期高血糖症的风险.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 已知COVID-19与高血糖症的短期结果,但长期预后仍然不清楚.
- 糖尿病影响COVID-19的严重程度和传播.
- 非糖尿病COVID-19患者的高血糖症需要进一步调查长期影响.
研究的目的:
- 在没有先前糖尿病的中度至重度COVID-19患者中,评估六个月后高血糖症的持续性.
- 在这个队列中确定与持续高血糖相关的危险因素.
- 为了评估六个月后对抗糖尿病治疗的需要.
主要方法:
- 一项关于COVID-19患者和入院高血糖 (>140 mg/dL) 的历史队列研究.
- 在六个月的时间里,对七十名参与者的电话随访.
- 每月自我监测血糖测量以确定持续的高血糖和需要抗糖尿病治疗.
主要成果:
- 70名参与者中有54人 (77%) 需要持续的抗糖尿病治疗或在6个月后表现出持续的高血糖 (>140毫克/分升).
- 在COVID-19呈现时,持久性高血糖明显与较高的血糖水平有关.
结论:
- 很大一部分COVID-19和新发性高血糖症患者在六个月后经历了持续的高血糖症.
- 呈现时的初始血糖水平是这些患者长期高血糖症的关键预测指标.
- 需要进一步的研究,以了解这种患者群体的长期代谢后果和管理策略.
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