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Diabetes Care: Analysis of Type 1 Diabetes Hospitalized by COVID-19 in Intensive Care Unit, Mechanical Ventilation and Mortality

 Last Update: 2021-07-28
 Source: Internet
 Author: User

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A research article published in Diabetes Care, an authoritative journal in the field of diabetes , aims to assess whether patients with type 1 diabetes (T1DM) hospitalized due to COVID-19 and patients without diabetes or type 2 diabetes (T2DM) have different risks of serious outcomes .

Diabetes COVID-19 Type 1 Diabetes

The researchers used the COVID-19 database to collect data on patients hospitalized with COVID-19 in U.

Compared with non-diabetic patients, the absolute risk of ICU/MV in T1DM patients is increased by 21% (RD is 0.
21, 95% CI is 0.
19-0.
24; RR is 1.
49, 95% CI is 1.
43-1.
56), and the absolute risk of death is increased by 5% (RD is 0.
05, 95%CI is 0.
03-0.
07; RR is 1.
40, 95%CI is 1.
24-1.
57), and adjusted according to age, gender and race or ethnicity
.

Comparison of main endings

Compared with T2DM, the absolute risk of ICU/MV in T1DM patients increased by 9% (RD of 0.
09, 95% CI of 0.
07-0.
12; RR of 1.
17, 95% CI of 1.
12-1.
22), but there was no difference in mortality (RD Is 0.
00, 95%CI is -0.
02 to 0.
02; RR is 1.
00, 95%CI is 0.
89-1.
13)
.

After adjusting for diabetic ketoacidosis (DKA) that occurred before or at the time of diagnosis of COVID-19 , compared with T2DM patients, the ICU/MV risk of T1DM patients no longer increased (RD is 0.

diagnosis

It can be seen that T1DM patients hospitalized with COVID-19 are at higher risk of severe outcomes than non-diabetic patients
.

The main reason why the ICU/MV risk of T1DM patients is higher than that of T2DM patients is that they are accompanied by DKA

T1DM patients hospitalized with COVID-19 are at higher risk of severe outcomes than non-diabetic patients
.
The main reason why the ICU/MV risk of T1DM patients is higher than that of T2DM patients is that they are accompanied by DKA
.
These results further guidance COVID-19 diabetes treatment and prevention preventive original source: Intensive Care Unit Admission, Mechanical Ventilation, and Mortality Among Patients With Type 1 Diabetes Hospitalized for COVID-19 in at The US in this message

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