2020, Number 3
Recommendations for the management of patients with hyperglycemia or diabetes mellitus and COVID-19
Medina-Chávez JH, Colín-Luna JI, Mendoza-Martínez P, Santoyo-Gómez DL, Cruz-Aranda JE
Language: Spanish
References: 11
Page: 344-356
PDF size: 240.07 Kb.
ABSTRACT
The disease caused by SARS-CoV-2, COVID 19, has become a pandemic due to its rapid spread and transmissibility. It has a wide spectrum of manifestation, from a self-limited disease to fulminant pneumonia, among the most vulnerable patients are the elderly and those with chronic diseases, such as high blood pressure and diabetes mellitus. The prevalence of diabetes mellitus in Mexico is 10.3%, a considerable number if we take into account that these are people who know they have the disease. Due to the above, there is concern about the management of hyperglycemia in patients with diabetes mellitus and COVID-19 infection, given that observational and randomized controlled studies indicate that the improvement in glycemic control in different hospital settings has improved the results in terms of decrease in the incidence of complications and mortality. A review and consensus regarding the management in the different clinical scenarios for patients with diabetes mellitus and hyperglycemia as a consequence of metabolic stress or side effects of some drugs was performed in order to have evidence and a quick reference of management for these patients who may be affected by COVID-19 and provide more comprehensive management.REFERENCES
Moghissi ES, Korytkowski MT, DiNardo M, et al. American Association of Clinical Endocrinologists; American Diabetes Association. American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control. Diabetes Care 2009;32:1119-1131. doi: 10.2337/dc09-9029