Prevalence of diabetes mellitus in 2019 novel coronavirus: A meta-analysis

Wang, Xiang; Wang, Shoujun; Sun, Liangge; Qin, Guijun

doi:10.1016/j.diabres.2020.108200

Cited by 39 publications

(30 citation statements)

References 29 publications

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“…3 Although people of all ages are generally susceptible to COVID-19, patients with diabetes are at higher risk for COVID-19 due to the multiple concomitant chronic diseases and immunosuppression. 4,5 According to the currently published literature, the prevalence of DM among COVID-19 patients and critically ill COVID-19 patients were 7.4-20.0% [6][7][8][9] and 17%, 10 respectively. The Chinese Center for Disease Control and Prevention (China CDC) has stipulated that COVID-19 patients discharged from hospitals are subject to a 14-day period of isolation and medical observation.…”

Section: Introductionmentioning

confidence: 99%

<p>Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study</p>

Shi¹,

Zhu²,

Li³

et al. 2020

DMSO

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Purpose: Diabetes self-management behaviors are necessary to obtain optimum glycemic control, reduce the risk of complications, and improve health outcomes. The COVID-19 pandemic imposes an additional struggle for self-management by diabetes patients. Although previous studies have reported socio-demographic, behavioral, psychological, and cultural barriers to diabetes self-management, little is known about perceived barriers to diabetes self-management among patients during isolation following their recovery from COVID-19. The purpose of this study was to explore perceived barriers among type 2 diabetes patients during isolation following their recovery from COVID-19. Patients and Methods: A qualitative, exploratory, and descriptive research design was utilized. Semi-structured telephonic interviews were conducted with 12 patients with diabetes who had been discharged from one COVID-19 designated hospital and underwent isolation in the designated facilities in Wuhan City, Hubei Province, China. Data were analyzed using Colaizzi's seven steps. Results: Barriers to diabetes self-management identified by patients with diabetes during isolation were categorized into five major themes: inadequate knowledge and behavioral beliefs, shortage of resources, suffering from health problems, negative emotions, and lack of support. Conclusion: Perceived barriers to diabetes self-management described by diabetes patients indicated a lack of environmental resources and support strategies to meet their needs. Efforts to remove barriers are important in assisting patients with diabetes to improve their quality of life and health outcomes.

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Section: Introductionmentioning

confidence: 99%

<p>Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study</p>

Shi¹,

Zhu²,

Li³

et al. 2020

DMSO

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“…The outbreak of this disease has resulted in an unparalleled increase in admissions to dedicated COVID-19 facilities, with diabetes, hypertension and cardiovascular disease reported to be major comorbidities among patients with COVID-19 [2]. The pooled prevalence of diabetes in a meta-analysis of nine observational studies of patients hospitalised with COVID-19 was reported to be 9% (95% confidence interval 6-12%) [3]. A high insulin requirement has been reported for the management of hyperglycaemia in patients with COVID-19, especially in those with severe disease, which has been attributed to a combination of severe insulin resistance and decreased insulin secretion due to beta-cell dysfunction [4].…”

Section: Introductionmentioning

confidence: 99%

Basal-Bolus Insulin Regimen for Hospitalised Patients with COVID-19 and Diabetes Mellitus: A Practical Approach

et al. 2020

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Background and Aim: The coronavirus disease 2019 (COVID-19) outbreak has rapidly crossed international boundaries and placed increasing demands on healthcare facilities worldwide. Patients with diabetes and uncontrolled blood glucose levels are at increased risk for poor clinical outcomes and in-hospital mortality related to COVID-19. Therefore, achieving good glycaemic control is of paramount importance among hospitalised patients with COVID-19. Basal-bolus insulin therapy is a safe and effective intervention for the management of hyperglycaemia in hospitalised patients. The aim of this article is to provide a practical guidance for the use of the basal-bolus insulin regimen in hospitalised patients with COVID-19 and diabetes mellitus. Methods: This guidance document was formulated based on the review of available literature and the combined personal experiences of the authors. We provide a comprehensive review on the use of the basal-bolus insulin regimen, including its principles, rationale, indications, prerequisites, initiation, and dose titration, and also suggest targets for blood glucose control and different levels of capillary blood glucose monitoring. Various case scenarios are used to illustrate how optimal glucose control can be achieved, such as through adjustments in doses of prandial and basal insulin, the use of correctional insulin dosing and changes in the timing and content of major and minor meals. Conclusion: The practical guidance for the use of the basal-bolus insulin regimen in hospitalised patients with COVID-19 and diabetes mellitus presented here can be used for patients admitted to hospital for indications other than COVID-19 and for those in ambulatory care.

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“…Studies investigating the prevalence of diabetes (all types) in COVID-19 patients have found it to be around 10% [4,5], but it remains unclear whether people with diabetes are more susceptible to COVID-19 [6,7]. However, numerous studies have shown an increased risk of severe COVID- 19 and mortality in individuals with diabetes [4,[6][7][8][9][10][11][12], as well as higher rates of hospitalization due to COVID-19 [13,14].…”

Section: Introductionmentioning

confidence: 99%

Altered Self-Observations, Unclear Risk Perceptions and Changes in Relational Everyday Life: A Qualitative Study of Psychosocial Life with Diabetes during the COVID-19 Lockdown

2020

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When the Danish society went into COVID-19 lockdown, it dramatically changed the conditions for living with a chronic disease like diabetes. The present article highlights the psychosocial effects of this change. The dataset consists of 20 semi-structured online interviews with people with diabetes. The data were analyzed using radical hermeneutics and interpreted using Luhmann’s operative constructivist systems theory. The analysis produced three main themes: (1) people with diabetes experience altered self-observations–mainly due to society labelling them as vulnerable, (2) people with diabetes have unclear risk perceptions due to lack of concrete knowledge about the association between COVID-19 and diabetes, and (3) changes in conditions for maintaining and creating meaningful relations have a significant impact on everyday life with diabetes. These findings have important implications for risk communication. People respond in a multitude of ways to communications issued by health authorities and with close relations, and their meaning-making is shaped by, and shapes, their self-observations, risk perceptions and relational environments. This calls for more targeted communication strategies as well as increased use of peer support; the goal being to help people create meaning in their own environments.

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Prevalence of diabetes mellitus in 2019 novel coronavirus: A meta-analysis

Cited by 39 publications

References 29 publications

<p>Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study</p>

<p>Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study</p>

Basal-Bolus Insulin Regimen for Hospitalised Patients with COVID-19 and Diabetes Mellitus: A Practical Approach

Altered Self-Observations, Unclear Risk Perceptions and Changes in Relational Everyday Life: A Qualitative Study of Psychosocial Life with Diabetes during the COVID-19 Lockdown

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