The short-term follow-up of patients with diabetes mellitus presenting with COVID-19.

Q3 Medicine
Delia-Andreea Lespezeanu, Alin Kraft, Cosmin Moldovan, Dan Ungureanu, Nicolae Bacalbasa
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引用次数: 0

Abstract

The COVID-19 pandemic has disproportionately affected individuals with diabetes mellitus (DM), significantly increasing their risk of adverse outcomes. This retrospective study aimed to explore the underlying factors contributing to the heightened vulnerability of individuals with DM to severe COVID-19. We reviewed medical records of patients diagnosed with DM from August 2020 to August 2022 and identified 60 equally divided into two groups. Group A (n = 30) included those diagnosed with an associated COVID-19 infection, while Group B (n = 30) served as the control group without a COVID-19 infection. Inflammatory biomarkers, venous blood glucose levels, and other parameters were assessed at hospital admission and again after a 14-day treatment period. Statistical analysis confirmed a strong association between diabetes and COVID-19 infection. In COVID-19 patients treated with Empagliflozin, correlations were observed between IL-1, TNF-alpha, IL-6, and blood glucose levels. Patients in Group B did not show significant improvements in inflammatory markers or blood glucose control. In contrast, in the first group, better correlations between interleukin levels and blood glucose were demonstrated, suggesting a higher success rate for that treatment. Our findings indicate that while Empagliflozin had limited efficacy in managing long-term diabetes-related complications, it might offer significant benefits in the acute phase of illness.

糖尿病合并COVID-19患者的短期随访。
2019冠状病毒病大流行对糖尿病患者的影响尤为严重,显著增加了他们出现不良后果的风险。本回顾性研究旨在探讨导致糖尿病患者对严重COVID-19易感性增加的潜在因素。我们回顾了2020年8月至2022年8月诊断为DM的患者的医疗记录,并确定了60例平均分为两组。A组(n = 30)包括诊断为相关COVID-19感染的患者,B组(n = 30)为未感染COVID-19的对照组。在入院时和14天治疗期后再次评估炎症生物标志物、静脉血糖水平和其他参数。统计分析证实,糖尿病与COVID-19感染之间存在密切关联。在接受恩格列净治疗的COVID-19患者中,观察到IL-1、tnf - α、IL-6与血糖水平之间的相关性。B组患者在炎症标志物或血糖控制方面没有明显改善。相比之下,在第一组中,白细胞介素水平和血糖之间的相关性更好,这表明该治疗的成功率更高。我们的研究结果表明,虽然恩帕列净在控制长期糖尿病相关并发症方面的疗效有限,但它可能在疾病的急性期提供显著的益处。
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来源期刊
Journal of Medicine and Life
Journal of Medicine and Life Medicine-Medicine (all)
CiteScore
1.90
自引率
0.00%
发文量
202
期刊介绍: The Journal of Medicine and Life publishes peer-reviewed articles from various fields of medicine and life sciences, including original research, systematic reviews, special reports, case presentations, major medical breakthroughs and letters to the editor. The Journal focuses on current matters that lie at the intersection of biomedical science and clinical practice and strives to present this information to inform health care delivery and improve patient outcomes. Papers addressing topics such as neuroprotection, neurorehabilitation, neuroplasticity, and neuroregeneration are particularly encouraged, as part of the Journal''s continuous interest in neuroscience research. The Editorial Board of the Journal of Medicine and Life is open to consider manuscripts from all levels of research and areas of biological sciences, including fundamental, experimental or clinical research and matters of public health. As part of our pledge to promote an educational and community-building environment, our issues feature sections designated to informing our readers regarding exciting international congresses, teaching courses and relevant institutional-level events.
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