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Diabetes and COVID-19: Who is Most at Risk?

by Duaazahra
Diabetes and COVID-19

Diabetes and COVID-19

We all must be careful to avoid the COVID-19. People should be even more careful if someone has type 1 or type 2 diabetes. People with diabetes and other chronic conditions like heart disease are at higher risk for COVID-19.

As scientists learn more about COVID-19, the virus affects people in several different ways. This is particularly true for people whose immune systems have a harder time defending against disease with established medical conditions.
Patients with diabetes have compromised immune response to infection in terms of both cytokine profile and immune response changes, including T-cell activation and macrophage activation.

Poor glycemic control affects several aspects of the immune response to viral infections, as well as potential secondary bacterial infections in the lungs.
Many diabetes patients in China are likely to have encountered impaired metabolic regulation while infected with COVID-19.

Patients with diabetes have been at great risk for serious clinical outcomes of COVID-19. The earlier stages of the pandemic indicate increasing epidemiological results.

The pandemic was interlinked to and revealed by Juliana Chan, Director of the Hong Kong Institute for Diabetes and Obesity, two additional common problems: diabetes and social health issues.

Older individuals and people with medical conditions like diabetes seem more vulnerable to serious COVID-19. If persons with diabetes become viral, fluctuations in blood glucose levels can make it harder to treat.

There are two explanations for this. Firstly, the immune system is affected and the battle against the infection is harder, and the recovery is probably longer. Second, the virus can thrive in a high blood glucose environment.

COVID-19 distributes by air droplets dispersed by the speak, sneezes, and cough of an infected individual. Depending on environmental conditions, the virus can live from a few hours to a few days.

Near contact with an infected individual or air droplets in the atmosphere may cause this spread to others. Early research found that approximately 25% of people who had serious COVID-19 infections in hospitals suffered from diabetes.

What to do if you have COVID-19 and Diabetes?

Whilst the precise cause of serious outcomes in diabetes and COVID-19 patients is not understood. Research has over time shown that people with diabetes can be immunologically compromised, which will alter the ability of people to rapidly recover from infections or diseases.

Patients with reasonably asymptomatic COVID-19, like diabetes, are treated at home. These patients need to track their symptoms and blood sugar levels.
If patients can’t regulate their blood sugars or exacerbate their symptoms and experience nausea, vomiting, or respiratory distress they should contact their healthcare provider immediately.

COVID-19 makes diabetes management difficult. Dr Vakharia ( Janaki Vakharia, MD Clinical fellow, Mass General Endocrinology Division)says patients obtained in hospitals with diabetes had higher criteria for insulin and higher rates of complications of diabetes, such as diabetic ketoacidosis.

This happens when the body breaks down fat too rapidly and thus produces ketones and acidic blood. Dr Vakharia suggests the use of ketone kits at home to monitor your ketone.

How to manage Diabetes during COVID-19?

There are following guidelines by CDC to control diabetes and COVID-19.
• Avoid gatherings.
• Maintains 6 feet distance and wear a mask.
• improve the diet.
• Maintains blood sugar level.
• Regular exercise at home.

Diabetes and COVID-19 Diet plan:

In response to the COVID-19 pandemic in many nations, governments have restricted their citizens’ movements and confined them to their homes. Store enough goods to keep you in quarantine for a couple of weeks.
• Prioritize low glycemic index foods.
• Prevent excessive fried food consumption.
• Limit the use of food with high sugar, carbohydrate, and fats.
• Eat green, leafy vegetables.
• Eat fruits in two or three servings.

There is no evidence that having diabetes makes us more likely to be infected with COVID-19. We know that those with chronically elevated average blood glucose levels are at greater risk for most infections, and we know that even mild diseases can hurt blood glucose levels.

Due to pandemic many of our routines have been interrupted, and a routine is an important tool in blood glucose control. Right now, put a strategy to launch your new environment with a fresh routine.

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