Diabetes and covid: a dangerous relationship

People with diabetes who become infected with covid-19 have a worse prognosis, since it has been observed that they have a greater risk of having a serious clinical picture, as well as a higher mortality, especially those who do not have good control of the disease. glucose in your blood.

Dr. Sara Brito, president of the National Diabetes Federation (Fenadiabetes), explains that with the appearance of covid-19, it was thought that those who suffer from diabetes would have greater susceptibility.

"In epidemiological studies it has been noted that there is no increased susceptibility of diabetics to be infected by covid-19, but there is an unfavorable prognosis for those infected, with more risks of complications, more possibilities of entering the units intensive care and higher mortality, that is, there is an important relationship, "he said.

He said that the medical condition in the face of the pandemic of the patient with diabetes, who has controlled sugar, is better than those who have very irregular levels of sugar.

In an interview with the team Últimas Noticias indicated that diabetics are more vulnerable to infectious diseases such as respiratory and urinary diseases, because they have impaired innate and acquired immunity and that in turn decompensate diabetes.

In addition, although it has not been determined exactly, some of the medications and treatments that are being used to face the crisis, may have some side effect in diabetic patients, some antivirals can raise blood sugar.
Brito also commented that he has observed the presence of diabetes in patients affected by the coronavirus, and is being monitored to determine if those who overcome the covid-19 remain suffering from diabetes or it is reversed by improving the body's inflammatory process. And, the coronavirus unleashes a very severe inflammatory process in the body, he stressed.

“It is important that the control of patients, with the condition of diabetes, is stricter at this time; that they do not run out of pills, without insulin, so that, if they become infected with covid-19, the risk of severity is lower, "he said.

He added that the coronavirus has made it difficult to treat diabetics, because controls cannot be carried out, they are afraid of exposing themselves by going to appointments, and in general, it has made it difficult to control all chronic diseases, "he added.

On the other hand, it emphasizes that in the current context, the most important thing is to protect the diabetic patient. That is why, from Fenadiabetes, they have carried out an awareness campaign among those who carry the condition of diabetics so that they have better control and can respond favorably to covid-19.

International Day

The World Health Organization and the International Diabetes Federation (IDF) designated November 14 as World Diabetes Day due to the growing concern and threat to health posed by this disease.
In this sense, diabetes is considered an epidemic because it occurs in a high percentage in all nations, mainly linked to eating habits and lifestyles.

Some 460 million people, approximately, are believed to have diabetes and a group of them do not know it. In the case of Venezuela, the prevalence is between 7 and 8% of the population, mostly people over 50 years of age.

Brito said that this occurs when there is insufficient insulin secretion or it does not act properly. Insulin basically allows the energy ingested through food to be used by cells. If insulin does not work, glucose does not enter the cells and remains circulating in the blood.

There are several types of diabetes: the most common is Type 2, which is suffered by about 90% of those diagnosed. It usually appears after the age of 40 with a significant genetic load. Usually, it is treated with pills and oral antidiabetics, with diet and physical activity.

Type 1 occurs in children or adolescents, and by producing substances, they destroy their own pancreas and make it dependent on insulin. This diabetes appears abruptly.

Likewise, there is gestational diabetes related to the process of pregnancy, when the woman releases a series of hormones that predispose her to the disease. This type begins and ends with pregnancy although it can cause a predisposition to later develop type 2 diabetes.

Pregnant women with gestational diabetes “have fertile ground for diabetes and this can have effects on the child. Particularly in the baby, if the mother is obese, suffers from hypertension, among other diseases, the future metabolic prognosis of the child will not be good ”, he emphasized.

Recommendations

Avoid processed foods; Eating a balanced diet with protein, vegetables and complex carbohydrates are many of the indications to prevent this disease.

According to Brito, the healthy plate should contain more than half starch-free vegetables, a quarter with complex carbohydrates and the remaining part with healthy proteins. Likewise, specialists recommend quitting smoking, because this practice increases the risk of type 2 diabetes and suffering complications such as heart disease, stroke, kidney or eye disease, among others. Likewise, it is important that patients have diabetes checks throughout the year, in addition to routine physical and eye exams.

People with diabetes should be careful with their feet, because high blood sugar levels can decrease blood flow and damage nerves. By not treating your wounds and blisters, doctors say they can lead to serious infections. They add that diabetes causes pain, tingling or loss of feeling in the feet.

Healthy agenda

The National Federation of Associations and Diabetes Units estimates developing various activities for health promotion, reported its president Sara Brito. This year, on the occasion of World Diabetes Day, a congress was organized with the participation of doctors from various specialties, students and health personnel. Between November 12 and 14, this plenary session called X National Diabetes Congress will be held in a virtual format. In addition, under the auspices of the Lions Club, this year they will hold a Virtual 5K Run-Walk to sensitize the community about diabetes and encourage physical exercise as a way to prevent the disease. It will allow the participation of professional runners and the general public who coexist or not with diabetes. The activity will benefit Fenadiabetes. Those interested in participating can contact the telephone numbers 0212-265.63.03 and 0412-119.57.27.

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