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Does Diabetes Increase the Risk of Contracting COVID-19? A Population-Based Study in Korea.
Chun, Sung-Youn; Kim, Dong Wook; Lee, Sang Ah; Lee, Su Jung; Chang, Jung Hyun; Choi, Yoon Jung; Kim, Seong Woo; Song, Sun Ok.
  • Chun SY; Research and Analysis Team, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • Kim DW; Research Institute of National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • Lee SA; Department of Big Data, National Health Insurance Service, Wonju, Korea.
  • Lee SJ; Research and Analysis Team, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • Chang JH; Research Institute of National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • Choi YJ; Research Institute of National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • Kim SW; Medical Library, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • Song SO; Research Institute of National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Diabetes Metab J ; 44(6): 897-907, 2020 12.
Article in English | MEDLINE | ID: covidwho-1005674
ABSTRACT

BACKGROUND:

This study aimed to determine the infection risk of coronavirus disease 2019 (COVID-19) in patients with diabetes (according to treatment method).

METHODS:

Claimed subjects to the Korean National Health Insurance claims database diagnosed with COVID-19 were included. Ten thousand sixty-nine patients with COVID-19 between January 28 and April 5, 2020, were included. Stratified random sampling of 15 was used to select the control group of COVID-19 patients. In total 50,587 subjects were selected as the control group. After deleting the missing values, 60,656 subjects were included.

RESULTS:

Adjusted odds ratio (OR) indicated that diabetic insulin users had a higher risk of COVID-19 than subjects without diabetes (OR, 1.25; 95% confidence interval [CI], 1.03 to 1.53; P=0.0278). In the subgroup analysis, infection risk was higher among diabetes male insulin users (OR, 1.42; 95% CI, 1.07 to 1.89), those between 40 and 59 years (OR, 1.66; 95% CI, 1.13 to 2.44). The infection risk was higher in diabetic insulin users with 2 to 4 years of morbidity (OR, 1.744; 95% CI, 1.003 to 3.044).

CONCLUSION:

Some diabetic patients with certain conditions would be associated with a higher risk of acquiring COVID-19, highlighting their need for special attention. Efforts are warranted to ensure that diabetic patients have minimal exposure to the virus. It is important to establish proactive care and screening tests for diabetic patients suspected with COVID-19 for timely disease diagnosis and management.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Social Class / Population Surveillance / Diabetes Mellitus / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Diabetes Metab J Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Social Class / Population Surveillance / Diabetes Mellitus / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Diabetes Metab J Year: 2020 Document Type: Article