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Social detachment is alleviated in step 1 and the Corona 19 virus is also entering to some degree a calm phase, but if you have chronic diseases like diabetes, you are more susceptible to Corona 19, so you should take care of your usual health . On November 14 of each year, on the occasion of the ‘World Diabetes Day’, with the help of Professor Jeong In-kyung of the Department of Endocrinology and Metabolism of Gangdong Kyunghee University Hospital, we will know the health rules for corona19 for diabetics.
If you have diabetes, you are more susceptible to COVID-19 than the general population and are more likely to progress to a serious disease. According to the meta-analysis of patient statistics from various countries reported so far, coronary diabetes patients 19 had a relative risk of being admitted to the intensive care unit of 2.21, more than double that of a general ward. The reason for the high severity of diabetic patients is high blood sugar, decreased immune function and vascular complications.
The death rate was also higher. According to data from the China Centers for Disease Control and Prevention, the prevalence of diabetes among 44,672 patients with corona19 was 5.3%. The mortality rate of COVID-19 patients with diabetes was 7.8%, higher than the overall mortality rate of 2.3% and higher than the death rate of COVID-19 patients without underlying disease of 0.9% . In Korea, the mortality rate of Corona 19 patients with diabetes out of 5,307 Corona 19 patients aged 30 years and older by May 2020 was 12.2%, much higher than the death rate of Corona 19 patients without diabetes of the 2.6%.
Professor Jeong In-kyung said: ‘In addition to high blood sugar levels, low immunity and complications, diabetic patients are often elderly and are often accompanied by other chronic diseases such as hypertension, obesity, hyperlipidemia and heart disease. vulnerable to disease, they are more effective in preventing infections. “The reason to work hard”, he asked. Prof. In-Kyung Jung published his thesis in the international journals “DIABETES RESEARCH AND CLINICAL PRACTICE” and “DIABETES AND METABOLISM JOURNAL “.
Diabetic patients are advised to maintain optimal blood glucose control as part of primary prevention of COVID-19. When infected with Corona 19, a state of stress is activated in the body, causing not only the secretion of stress hormones such as cortisol and catecholamine, but also inflammation-related cytokines such as interleukin-6. This is a factor that increases the severity of Corona 19 due to high blood sugar and severe inflammatory reactions. Conversely, COVID-19 infection can trigger the onset of diabetes, so diabetes onset should be monitored during treatment. In fact, a single-center study found that 28 percent of COVID-19 patients with hyperglycemia had not been diagnosed with diabetes prior to hospital admission.
Because corona 19 infection is susceptible to dehydration and multi-organ failure, patients treated with diabetes medications such as metformin, SGLT2 inhibitors, and sulphone urea medications must change or adjust their medication depending on the status of the infection. In particular, when kidney or liver function is impaired, the drug is changed. Professor Jeong In-kyung said: “In case of severe high blood sugar, patients with COVID-19 should control their blood sugar with insulin or appropriate diabetic medications, taking into account the risk of kidney function or liver failure and dehydration to help to heal from infection. When using insulin, the risk of hypoglycemia is also carefully. “You have to monitor it.”
Corona 19 is infected with droplets, so it is important to avoid and be as careful as possible of droplet infection. To this end, diabetic patients △ refrain from going out or visiting crowded areas △ Wash your hands thoroughly △ Respect cough etiquette △ Do not touch your face with unwashed hands △ Wear a mask before visiting a medical institution △ Fever or respiratory symptoms Efforts are needed, such as avoiding contact with people who have teeth, and sempre Always clean frequently touched surfaces, such as tables.
Also, to manage blood sugar, you need to take oral medications, administer insulin or oral medications more strictly than usual, and monitor your blood sugar more often. Self-checking of blood glucose should be done at least once every two hours after waking up in the morning and after eating. If your blood sugar level is higher than usual, you should visit your doctor for active treatment. Adequate nutritional therapy is also important for health care. Eat regular meals with a balanced diet and reduce your intake of simple sugars. It is also advisable to eat enough vegetables and proteins. It is also good to drink plenty of water and do aerobic exercise at home regularly (at least 30 minutes) every day and strength exercises at least twice a week. Comprehensive health care also helps manage diabetes, so it’s good to do it consistently.
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