Prakash Deedwania, MD: Diabetes Gives More Severe Complications In The Case Of Infection With COVID-19
Diabetes, itself a severe disease, is much more severe and gives more severe complications in the case of infection with COVID-19. This conclusion was made by scientists at the University of California in San Francisco based on a large-scale study, the results of which are available on the medical portal MedicalXpress.
Statistics are not encouraging
According to statistics obtained by researchers for several months of the pandemic, diabetes is the second most serious complication of coronavirus after cardiovascular diseases. According to the US Centers for Disease Control and Prevention (CDC), diabetic patients infected with the virus are six times more likely to need hospitalization and 12 times more likely to be fatal.
Monitoring of patients with diabetes of both the first and second types, even though it was conducted for a short time, "provides, however, extensive material for taking urgent and serious measures to manage those infected with coronavirus in the presence of a history of diabetes of varying severity," notes the author of the study, Professor of medicine at the University of California Prakash Deedwania.
Tasks for doctors
In this regard, scientists draw attention to several shortcomings in the work of medical practitioners, including outpatient practice, as well as in the functioning of specialized infectious disease treatment facilities.
First of all, due to the pandemic, in some cases, doctors lose control over the health of diabetic patients, CDC experts note. Diabetics ' visits to outpatient clinics have fallen by 10% since March 2020, which in absolute numbers amounts to tens of thousands. Patients, due to the peculiarities of the human psyche, began to monitor their blood glucose levels irregularly, there are cases of irregular use of medications and insulin injections.
"These problems send us to the need to be very attentive to this category of patients, and the pandemic should not distract both forces and funds from helping endocrine patients," says Deedwania.
"Control of blood sugar in diabetics should be carried out in any place, whether in a hospital, or an outpatient clinic, or at home, the scientist is convinced, - clear management of patients will help to avoid serious irreversible complications of diabetes."
Deedwania recalls several complications inherent in diabetes, including kidney disease, stroke, myocardial infarction, impaired limb innervation, which can lead to amputation, and visual impairment.
"The most serious complication of diabetes is a decrease in the body's immune defense functions," the scientist adds.
"Patients with high blood sugar levels should be in close contact with their healthcare providers, social workers," said Dr. Joshua Joseph of the Department of endocrinology, diabetes and metabolism at the Ohio State University Wexner Medical center in Columbus. "Among other things, doctors should also monitor the possible occurrence of hypoglycemia, which is no less dangerous than an increase in blood glucose."
Telemedicine is a serious assistant
According to Joseph, telemedicine is a great help in working with the spread of coronavirus. "Patients can send messages about their sugar level, health status, and changes in other indicators," he said. "In the case of extremely high glucose levels, doctors must immediately invite the patient to the hospital, deliberately isolating them from patients with coronavirus."
Social support for diabetic patients, close family, and friendly relationships that help in emergency cases are of no small importance in these circumstances, scientists believe.
Researchers recommend that diabetics increase their physical activity (up to 150 minutes a week), achieve full sleep, master auto-training, learn to breathe properly, and include listening to music in the rehabilitation process.
But The most important thing, Deedwania is convinced, is not to forget about precautions when communicating with people: wearing a mask, maintaining a social distance, washing hands, and face. "All this is important, especially if you have diabetes," the Professor concludes.