1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2020 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Hospitalized COVID-19 patients with diabetes represent more than 20 percent of ICU population

Discussion in 'Diabetes News' started by newpetrovici, Jun 7, 2020.

  1. newpetrovici

    newpetrovici · Newbie

    Messages:
    1
    Likes Received:
    0
    Trophy Points:
    1
    The COVID-19 pandemic presents new challenges for clinicians caring for infected patients with diabetes, according to new guidance published in the Endocrine Society's Journal of Clinical Endocrinology & Metabolism.


    Hospitalized patients with COVID-19 and diabetes need to receive glucose-lowering therapy in addition to other complex medical management as a way of minimizing risk for complications and death. However, appropriate glycemic management—including bedside glucose monitoring and insulin administration—requires intensive patient interactions and puts clinicians at risk.

    "This manuscript provides guidance for healthcare providers caring for patients hospitalized for COVID-19 who also have a prior history of diabetes or who have high blood sugar levels at the time of hospitalization," said lead author Mary T. Korytkowski, M.D., of the University of Pittsburgh School of Medicine in Pittsburgh, Pa. "These healthcare providers are at risk for contracting COVID-19, and while glycemic management in the hospital improves patient outcomes, it also intensifies the amount of time with direct patient contact."

    Clinicians may limit their risk of exposure by minimizing the use of IV insulin infusions and using remote glucose monitoring devices and non-insulin therapies when possible. Diabetes self-management by selected patients who are knowledgeable and capable of this in the hospital also can be considered as a way of limiting direct patient interactions. Clinicians should be aware that some medications used in treating COVID-19 patients, including glucocorticoids and hydroxychloroquine, can affect blood glucose levels.
     
    • Informative Informative x 1
  2. KK123

    KK123 Type 1 · Well-Known Member

    Messages:
    2,514
    Likes Received:
    1,552
    Trophy Points:
    198
    Hi there, well thanks for sharing but do you have a point? I'm always wary when someone (new) posts a copy & paste without going onto to say what THEIR reason or point is.
     
    • Agree Agree x 4
    • Like Like x 1
  3. LaoDan

    LaoDan Type 2 · Well-Known Member

    Messages:
    188
    Likes Received:
    108
    Trophy Points:
    63
    Maybe it’s don’t eat hospital food? Bring your own coconut oil.
     
    • Like Like x 2
  4. ickihun

    ickihun Type 2 · Master

    Messages:
    13,389
    Likes Received:
    18,345
    Trophy Points:
    298
    Or make sure your hospital knows how to treat diabetics in an emergency. It will always help. First and foremost.
    If I'm ever taken into A&E for covid they will be given instructions on how to treat me. Mind u I hv reassurance as I was in hospital recently with an excellent team. Not always guaranteed thou.
    My advice is to dot the eyes and cross the Ts.
     
  5. Tophat1900

    Tophat1900 Type 3c · Well-Known Member

    Messages:
    2,027
    Likes Received:
    1,158
    Trophy Points:
    178
    I'd imagine you wouldn't have much choice in the matter. Which would potentially make control for low carbers much more difficult and for many others very difficult.
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook