The Lancet: After contracting the new crown, the risk of diabetes increases, even in patients with mild symptoms

Written | Edited by Wang Cong | Typesetting by Wang Duoyu | Shui Chengwen research paper
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The large-scale study of nearly 200,000 people showed that people with Covid-19 had an increased risk of diabetes a year later, even those with mild symptoms, compared with those without Covid-19
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Ziyad Al-Aly, the paper's corresponding author and director of the St.
Louis Health Care System at the Missouri Department of Veterans Affairs, said: "When the new crown pandemic subsides, we will have to face the "legacy" of the pandemic -- chronic diseases.
And the healthcare system isn't ready for that right now
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Increased risk Ziyad Al-Aly and his colleague Xie Yan reviewed the medical records of more than 180,000 people who survived for more than a month after contracting the new coronavirus
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They compared those records with the medical records of two groups of more than 4 million people who were not infected with the new coronavirus
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They have previously demonstrated through similar studies that infection with the new coronavirus increases the risk of kidney disease, heart failure and stroke
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In the study, they found that a control group without Covid-19 had a diagnosis of diabetes at a rate of 35 per 1,000 a year later, compared with 48 per 1,000 among those who contracted Covid-19.
Almost all cases are type 2 diabetes, which is caused by the body becoming resistant to insulin or not producing enough insulin
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People infected with Covid-19 had a nearly 40 percent higher risk of developing diabetes a year later than those in a control group who didn't have Covid-19
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The risk of developing diabetes increases with the severity of Covid-19, with people hospitalized or severely ill with Covid-19 having about three times the risk of diabetes compared to a control group without Covid-19
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In addition, the study found that even those with mild post-COVID-19 disease and no risk factors for diabetes had an increased risk of developing diabetes
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And those with a high BMI and obesity more than doubled the risk of diabetes after contracting COVID-19
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Global Burden At present, the number of new crowns around the world is still increasing rapidly, and the cumulative number of confirmed cases has exceeded 480 million
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Such a huge number of infected people means that the world will usher in a huge burden of diabetes
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But other diabetes experts pointed out that the study was conducted on U.
S.
military veterans, mostly older white men, who are not inherently at low risk for diabetes
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Young people are not at high risk of developing diabetes
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An elusive cause Early in the pandemic, studies in young adults and children suggested that the virus could damage insulin-producing cells in the pancreas, triggering type 1 diabetes
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However, follow-up studies have concluded that there is no evidence that the new crown will increase the risk of type 1 diabetes in young people and children
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There are also studies refuting the idea that the new coronavirus can damage pancreatic cells
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In addition, there is a question of whether the metabolic changes observed in the new crown patients will persist after a year
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Therefore, more research is needed to elucidate the long-term trends of new-onset diabetes in people with COVID-19 and to find the reasons for this risk
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Reference: https://#ref-CR1 https://doi.
org/10.
1016/S2213-8587(22)00044-4 Open for reprinting and welcome to forward to friends circle and wechat group