Abstract:
:A novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease 2019 [COVID-19]) is now at global pandemic levels causing significant morbidity and mortality. Patients with diabetes are particularly vulnerable and more likely to get severe complications when infected with this virus. Although the information continues to emerge, here we provide our perspective on initial outcomes observed in hospitalized patients with diabetes and the potential role played by the proinflammatory metabolic state in these patients that promotes fertile ground for the virus' inflammatory surge, resulting in severe insulin resistance and severe hyperglycemia. The rapidly evolving renal failure, hypotension, pressor and steroid use, and variable nutritional support further complicates their management. Thus, timely implementation of glucose management protocols addressing these complex scenarios while also following COVID-19-related trajectories in inflammatory biomarkers and being cognizant of the health care provider exposure may substantially affect morbidity and mortality.
journal_name
Diabetesjournal_title
Diabetesauthors
Gianchandani R,Esfandiari NH,Ang L,Iyengar J,Knotts S,Choksi P,Pop-Busui Rdoi
10.2337/dbi20-0022subject
Has Abstractpub_date
2020-10-01 00:00:00pages
2048-2053issue
10eissn
0012-1797issn
1939-327Xpii
dbi20-0022journal_volume
69pub_type
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