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Clinical characteristics of hospitalized and home isolated COVID-19 patients with type 1 diabetes.
Al Hayek, Ayman A; Robert, Asirvatham Alwin; Alotaibi, Ziyad K; Al Dawish, Mohamed.
  • Al Hayek AA; Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: ayman.alhayek@yahoo.com.
  • Robert AA; Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: aalwinrobert@gmail.com.
  • Alotaibi ZK; Emergency Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: ziyadalotaibi1974@yahoo.com.
  • Al Dawish M; Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: maldawish@psmmc.med.sa.
Diabetes Metab Syndr ; 14(6): 1841-1845, 2020.
Article in English | MEDLINE | ID: covidwho-1059536
ABSTRACT
BACKGROUND AND

AIMS:

To elucidate the clinical features of COVID-19 patients with type 1 diabetes (T1D) under hospitalization and home isolation conditions.

METHOD:

This retrospective study was conducted among 32 patients with COVID-19 and T1D, who sought treatment at the Prince Sultan Military Medical City, Riyadh, Saudi Arabia between May 01, 2020 and July 30, 2020. Patients data were extracted from electronic medical records.

RESULTS:

Of the total of 32 COVID-19 patients with T1D, 21.9% required hospitalization, while 78.1% underwent home isolation. Among the study population, 9.4% (3/32) were reported to have hypertension, 21.9% (7/32) had chronic pulmonary disease (CPD), 18.8% (6/32) had thyroid disorders, and 18.8% (6/32) had the celiac disease. Of the 32 studied patients, 68.8% (22/32) of them were reported as normal, while 28.1% (9/32) had chronic kidney disease (CKD) II and 3.1% (1/32) had end-stage renal failure. The most common symptoms observed among the hospitalized patients were nausea and vomiting (71.4%; 5/7), followed by fever (57.1%; 4/7), cough (42.8%; 3/7), sore throat (42.8%; 3/7), abdominal pain (42.8%; 3/7) and dyspnea (42.%; 3/7). The most common reasons for hospitalization were diabetic ketoacidosis (71.4%; 5/7) followed by bacterial pneumonia (14.3%; 1/7), fever (14.3%; 1/7), sore throat (14.3%; 1/7), severe hyperglycemia (14.3%; 1/7) and COVID-19 pneumonia (14.3%; 1/7). Except the severity of COVID-19 (p = 0.0001), none of the demographic and clinical parameters indicated statistically significant differences between patients requiring hospitalization and home isolation.

CONCLUSION:

Majority of the COVID-19 patients with T1D recovered with conservative treatment at home. Diabetic ketoacidosis was the most common reason for hospitalization.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Isolation / Diabetic Ketoacidosis / Diabetes Mellitus, Type 1 / COVID-19 / Hospitalization Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Adult / Female / Humans / Male / Young adult Country/Region as subject: Asia Language: English Journal: Diabetes Metab Syndr Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Isolation / Diabetic Ketoacidosis / Diabetes Mellitus, Type 1 / COVID-19 / Hospitalization Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Adult / Female / Humans / Male / Young adult Country/Region as subject: Asia Language: English Journal: Diabetes Metab Syndr Year: 2020 Document Type: Article