Lancet Diabetes Endocrinol. Practical recommendations for the management of diabetes in patients with COVID-19

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Lancet Diabetes Endocrinol. 2020 Apr 23. pii: S2213-8587(20)30152-2. doi: 10.1016/S2213-8587(20)30152-2. [Epub ahead of print]
Practical recommendations for the management of diabetes in patients with COVID-19.


Bornstein SR¹, Rubino F², Khunti K³, Mingrone G⁴, Hopkins D⁵, Birkenfeld AL⁶, Boehm B⁷, Amiel S⁸, Holt RI⁹, Skyler JS¹⁰, DeVries JH¹¹, Renard E¹², Eckel RH¹³, Zimmet P¹⁴, Alberti KG¹⁵, Vidal J¹⁶, Geloneze B¹⁷, Chan JC¹⁸, Ji L¹⁹, Ludwig B²⁰.

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Abstract

Diabetes is one of the most important comorbidities linked to the severity of all three known human pathogenic coronavirus infections, including severe acute respiratory syndrome coronavirus 2. Patients with diabetes have an increased risk of severe complications including Adult Respiratory Distress Syndrome and multi-organ failure. Depending on the global region, 20-50% of patients in the coronavirus disease 2019 (COVID-19) pandemic had diabetes. Given the importance of the link between COVID-19 and diabetes, we have formed an international panel of experts in the field of diabetes and endocrinology to provide some guidance and practical recommendations for the management of diabetes during the pandemic. We aim to briefly provide insight into potential mechanistic links between the novel coronavirus infection and diabetes, present practical management recommendations, and elaborate on the differential needs of several patient groups.
Copyright ? 2020 Elsevier Ltd. All rights reserved.



PMID:32334646DOI:10.1016/S2213-8587(20)30152-2