COVID 2019 Comorbidity with Diabetes

[Robinredbreast]

We have two options, live or die with coronavirus. We have got it for the duration.
D.

The majority of the nation knows that, but still rather demoralising to listen to it

 

[Deleted member 308541]

Do not adjust your sets. The President of the United States just pondered whether injecting disinfectant into the lungs could help cure coronavirus patients. Trump also revived another pet theory, that summer sunlight could drive the pathogen away.

"What if you brought the light inside of the body which you could do either through the skin or some other way? And I think you said you were going to test that, too. Sounds interesting," the President said. "Then I see the disinfectant, knocks it out in one minute. Is there a way we can do something like that, by injection inside, or almost a cleaning? Because you see, it gets on the lungs."

Just to be clear: Stephen Hahn, who runs the Food and Drug Administration, said in a CNN town hall: “I certainly wouldn't recommend the internal ingestion of a disinfectant.”

Trump has come out with more verbal diarrhoea statements, that injecting disinfectant is a wonder cure fo CV 19 being one of them.

Sourced from a CNN newsletter...

 

[Bill_St]

Practical recommendations for the management of diabetes in patients with COVID-19
Diabetes is one of the most important comorbidities linked to the severity of all three known human pathogenic coronavirus infections, including severe acute respiratory syndrome coronavirus 2. Patients with diabetes have an increased risk of severe complications including Adult Respiratory Distress Syndrome and multi-organ failure. Depending on the global region, 20–50% of patients in the coronavirus disease 2019 (COVID-19) pandemic had diabetes. Given the importance of the link between COVID-19 and diabetes, we have formed an international panel of experts in the field of diabetes and endocrinology to provide some guidance and practical recommendations for the management of diabetes during the pandemic. We aim to briefly provide insight into potential mechanistic links between the novel coronavirus infection and diabetes, present practical management recommendations, and elaborate on the differential needs of several patient groups.

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30152-2/fulltext

 

[Brunneria]

Practical recommendations for the management of diabetes in patients with COVID-19
Diabetes is one of the most important comorbidities linked to the severity of all three known human pathogenic coronavirus infections, including severe acute respiratory syndrome coronavirus 2. Patients with diabetes have an increased risk of severe complications including Adult Respiratory Distress Syndrome and multi-organ failure. Depending on the global region, 20–50% of patients in the coronavirus disease 2019 (COVID-19) pandemic had diabetes. Given the importance of the link between COVID-19 and diabetes, we have formed an international panel of experts in the field of diabetes and endocrinology to provide some guidance and practical recommendations for the management of diabetes during the pandemic. We aim to briefly provide insight into potential mechanistic links between the novel coronavirus infection and diabetes, present practical management recommendations, and elaborate on the differential needs of several patient groups.

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30152-2/fulltext

THANK YOU for posting this.

very informative, both for T1s and T2s

 

[Bill_St]

An aspect this document highlights is

“Another important observation by the co-authors from various centres in different countries affected by COVID-19 is the tremendous insulin requirement in patients with a severe course of the infection. To what extent COVID-19 plays a direct role in this high insulin resistance is unclear. According to the personal experiences of co-authors of this Personal View, the extent of insulin resistance in patients with diabetes seems disproportionate compared with critical illness caused by other conditions.”

We have seen both here and in CGM user groups, both of which are likely to include those with much greater levels of control, a number of reports of much higher insulin usage to keep that control. Often put down to staying indoors.

But is it possible that we are seeing increased insulin requirement as an indicator of mild otherwise asymptomatic COVID?
Guess we might find out as testing is increasingly rolled out to general population; families of essential workers.

 

[Brunneria]

An aspect this document highlights is

“Another important observation by the co-authors from various centres in different countries affected by COVID-19 is the tremendous insulin requirement in patients with a severe course of the infection. To what extent COVID-19 plays a direct role in this high insulin resistance is unclear. According to the personal experiences of co-authors of this Personal View, the extent of insulin resistance in patients with diabetes seems disproportionate compared with critical illness caused by other conditions.”

We have seen both here and in CGM user groups, both of which are likely to include those with much greater levels of control, a number of reports of much higher insulin usage to keep that control. Often put down to staying indoors.

But is it possible that we are seeing increased insulin requirement as an indicator of mild otherwise asymptomatic COVID?
Guess we might find out as testing is increasingly rolled out to general population; families of essential workers.

Yes, and also the mention that COVID-19 may well be affecting the beta cells, and actually triggering diabetes.
Although that could equally be that the disease is placing such strain on the body that previously undiagnosed T2s with metabolic symdrome are being identified as full blown T2s in hospital.

The recurring mention of insulin resistance, metabolic disease and metabolic syndrome show that it isn't just 'wacko keto fringe elements' who are aware of this - it is becoming mainstream knowledge.

 

[zand]

Practical recommendations for the management of diabetes in patients with COVID-19
Diabetes is one of the most important comorbidities linked to the severity of all three known human pathogenic coronavirus infections, including severe acute respiratory syndrome coronavirus 2. Patients with diabetes have an increased risk of severe complications including Adult Respiratory Distress Syndrome and multi-organ failure. Depending on the global region, 20–50% of patients in the coronavirus disease 2019 (COVID-19) pandemic had diabetes. Given the importance of the link between COVID-19 and diabetes, we have formed an international panel of experts in the field of diabetes and endocrinology to provide some guidance and practical recommendations for the management of diabetes during the pandemic. We aim to briefly provide insight into potential mechanistic links between the novel coronavirus infection and diabetes, present practical management recommendations, and elaborate on the differential needs of several patient groups.

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30152-2/fulltext

Thank you for posting this. Very useful for me to know the 'how' and 'whys' as I recover. A bit daunting moving forwards, but knowing the facts helps.

 

[urbanracer]

Potentially airborne!!!!
https://www.theguardian.com/environment/2020/apr/24/coronavirus-detected-particles-air-pollution

Nobody breathe.

 

[urbanracer]

Brazilian study into use of Chloroquine halted after some patients died.

https://www.theguardian.com/world/2020/apr/24/chloroquine-study-coronavirus-brazil

 

[zand]

Potentially airborne!!!!
https://www.theguardian.com/environment/2020/apr/24/coronavirus-detected-particles-air-pollution

Nobody breathe.

I have always thought it was airborne and have never understood why a mere space of 2 metres was safe. Yes keeping 2 metres away helps lessen the spread but that's all.

 

[Bill_St]

Potentially airborne!!!!
https://www.theguardian.com/environment/2020/apr/24/coronavirus-detected-particles-air-pollution

Nobody breathe.

And perhaps consider a mask

 

[Brunneria]

Apologies if this link has been posted before
https://www.ft.com/content/67e6a4ee-3d05-43bc-ba03-e239799fa6ab

Coronavirus deaths in UK estimated (FT article) to be double the official hospital death figs.

so hospital deaths c. 20,000
Care home deaths, c. 10,000
Home and elsewhere deaths, c. 10,000

ed. For numerical typo

 

[Bluetit1802]

As regards Covid being a possible trigger for T2 diabetes, or increased levels of blood glucose for those on ventilators, could the reason be the tube feeding? What do they feed them on? My guess a good dollop of glucose is included.

 

[Bill_St]

As regards Covid being a possible trigger for T2 diabetes, or increased levels of blood glucose for those on ventilators, could the reason be the tube feeding? What do they feed them on? My guess a good dollop of glucose is included.

I have seen recommendations for high fat and protein but do not know how widespread that is.

 

[lindisfel]

As regards Covid being a possible trigger for T2 diabetes, or increased levels of blood glucose for those on ventilators, could the reason be the tube feeding? What do they feed them on? My guess a good dollop of glucose is included.

A member on here with RH has his refusal to have glucose fed to him on his notes if he should finish up needing treating.
Those with RH dont want to hypo as well as have a serious illness.

D.

 

[Member496333]

I heard the other day that if you blew up the virus to the size of a coin, the holes in fabric face masks would be equivalent to eight feet in diameter. Think about that the next time you see someone with a hanky over their mouth in a supermarket queue

 

[Member496333]

As regards Covid being a possible trigger for T2 diabetes, or increased levels of blood glucose for those on ventilators, could the reason be the tube feeding? What do they feed them on? My guess a good dollop of glucose is included.

Glucose and seed oils, apparently...

 

[Bluetit1802]

I heard the other day that if you blew up the virus to the size of a coin, the holes in fabric face masks would be equivalent to eight feet in diameter. Think about that the next time you see someone with a hanky over their mouth in a supermarket queue

Which reminds me of an elderly man my husband saw approaching the queue outside our supermarket on Monday. He was wearing a mask, which he pulled down in order to give his nose a good rub with his hand, then replaced the mask and grabbed a trolley.

 

[JohnEGreen]

Which reminds me of an elderly man my husband saw approaching the queue outside our supermarket on Monday. He was wearing a mask, which he pulled down in order to give his nose a good rub with his hand, then replaced the mask and grabbed a trolley.

Not quite got the idea then.

 

[Bill_St]

But if the virus is travelling further airborne by attaching itself to pollution particles, if a mask can stop the pollution particles .... It is very clear when comparing countries where masks are regularly required, they do have Some effect. We might not know yet just how .... but attachment to a carrier does seem feasible.

.