{"id":23353,"date":"2020-04-07T15:48:20","date_gmt":"2020-04-07T18:48:20","guid":{"rendered":"https:\/\/www.infobioquimica.com\/new\/?p=23353"},"modified":"2020-04-07T15:48:24","modified_gmt":"2020-04-07T18:48:24","slug":"medical-teams-need-to-be-alert-to-the-extra-risks-faced-by-diabetics-from-covid-19","status":"publish","type":"post","link":"https:\/\/infobioquimica.com\/new\/2020\/04\/07\/medical-teams-need-to-be-alert-to-the-extra-risks-faced-by-diabetics-from-covid-19\/","title":{"rendered":"Medical teams need to be alert to the extra risks faced by diabetics from COVID-19"},"content":{"rendered":"<p>In an editorial published in the <em>Journal of Clinical Endocrinology &amp; Metabolism<\/em>, they say data from Wuhan province in China, where the pandemic started, has revealed that patients with diabetes mellitus were over-represented in the group of people who become severely ill and also among those who  died.  <\/p><p>The endocrinologists, who are experts in hormone-related diseases, say medical teams need to be extra vigilant when they are dealing with this patient group.   <\/p><p>According to Diabetes UK, 4.7 million people in the UK have diabetes mellitus. <\/p><p>Paul Stewart, editor in chief of the journal and Professor of \nMedicine at the University of Leeds, said: \u00abThere is early evidence from\n China that those patients who have endocrinological disorders face \nadditional risks from COVID-19.  <\/p><p>\u00abThe scientific picture indicates that these people need to \nself-isolate, to try and reduce the chance of infection in the same way \nas the background population. There are endocrinological disorders that \naffect the body&#8217;s ability to make steroid hormones &#8211; or glucocorticoids &#8211;\n to help overcome infection. This might make some patients more \nvulnerable to the effects of the COVID-19 illness.\u00bb  <\/p><p>Patients with known problems of the adrenal gland are treated with \nreplacement glucocorticoid on a daily basis &#8211; such patients who begin to\n develop symptoms of COVID-19 should double their dose of medication \nimmediately:  they should follow their \u00absick day rules\u00bb, the protocol \nthey have agreed with their doctor to follow when they feel unwell, \nuntil any fever subsides.   <\/p><p>However, there are many other patients who take glucocorticoids \nbecause of inflammatory diseases. Some of these patients take large \ndoses and that may suppress their immune systems and importantly prevent\n the body&#8217;s ability to respond to COVID-19.  <\/p><p>Whilst glucocorticoid treatment has no role to play in the treatment\n of COVID-19 per se, intravenous stress doses should be considered by \ndoctors in any patient previously treated with glucocorticoids who is \ndeteriorating with COVID-19. <\/p><p>These recommendations apply to specific patient groups. People  should not change their medication regime without first talking to their  doctor.  <\/p><p>Source: <a href=\"https:\/\/www.eurekalert.org\/pub_releases\/2020-04\/uol-mtn040220.php\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"eurekalert.org (opens in a new tab)\">eurekalert.org<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>In an editorial published in the Journal of Clinical Endocrinology &amp; Metabolism, they say data from Wuhan province in China, where the pandemic started, has revealed that patients with diabetes mellitus were over-represented in the group of people who become severely ill and also among those who died. The endocrinologists, who are experts in hormone-related [&hellip;]<\/p>\n","protected":false},"author":2620,"featured_media":23355,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"twitterCardType":"","cardImageID":0,"cardImage":"","cardTitle":"","cardDesc":"","cardImageAlt":"","cardPlayer":"","cardPlayerWidth":0,"cardPlayerHeight":0,"cardPlayerStream":"","cardPlayerCodec":"","footnotes":""},"categories":[655],"tags":[39485,39503],"class_list":["post-23353","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias-ingles","tag-covid-19","tag-sars-cov-2"],"acf":[],"_links":{"self":[{"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/posts\/23353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/users\/2620"}],"replies":[{"embeddable":true,"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/comments?post=23353"}],"version-history":[{"count":2,"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/posts\/23353\/revisions"}],"predecessor-version":[{"id":23356,"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/posts\/23353\/revisions\/23356"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/media\/23355"}],"wp:attachment":[{"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/media?parent=23353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/categories?post=23353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/infobioquimica.com\/new\/wp-json\/wp\/v2\/tags?post=23353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}