Use of a simplified local guideline improves “front door” management of diabetes and hyperglycaemia in people admitted to hospital with COVID-19

IF 0.4 Q4 ENDOCRINOLOGY & METABOLISM
Elizabeth Fetherston, S. Tee, `Meilan Kwok, Satish Artham, P. Carey, R. Nayar, D. Bishop, A. Joshi
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引用次数: 0

Abstract

Background COVID-19, caused by the severe acute respiratory syndromecoronavirus-2 (SARS-CoV-2), was declared a pandemic on 11th March 2020. COVID-19 increases risk of hyperglycaemia regardless of prior diabetes diagnosis. Following results of the RECOVERY trial showing survival benefit in people with COVID-19 who required oxygen, dexamethasone has been used to improve outcomes.1 Dexamethasone (a glucocorticoid) may exacerbate hyperglycaemia in people with diabetes and can precipitate glucocorticoid-induced diabetes in others. In the context of COVID-19 infection, stress-related hyperglycaemia increases risk of mortality during hospitalization.2 In order to improve recognition and management of COVID-19-related hyperglycaemia, the National Diabetes Inpatient COVID response team published relevant guidance.3
使用简化的局部指南可改善COVID-19住院患者糖尿病和高血糖的“前门”管理
背景2020年3月11日,由严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起的新冠肺炎被宣布为大流行。新冠肺炎增加了高血糖症的风险,无论先前是否诊断为糖尿病。RECOVERY试验结果显示,需要吸氧的新冠肺炎患者的存活率提高,因此使用地塞米松来改善结果。1地塞米松(一种糖皮质激素)可能会加重糖尿病患者的高血糖症,并可能导致其他患者的糖皮质激素诱导的糖尿病。在新冠肺炎感染的背景下,与压力相关的高血糖会增加住院期间的死亡率。2为了提高对新冠肺炎相关高血糖的认识和管理,国家糖尿病住院患者新冠肺炎应对小组发布了相关指南。3
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来源期刊
British Journal of Diabetes
British Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
自引率
16.70%
发文量
15
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