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Demographics, management and outcomes of inpatients with newly diagnosed diabetes in acute covid-19 infection
Diabetic Medicine ; 38(SUPPL 1):48, 2021.
Article in English | EMBASE | ID: covidwho-1238376
ABSTRACT

Aim:

To investigate the demographics, management and outcomes of patients with newly diagnosed diabetes in covid-19 infection admitted to Queen Elizabeth Hospital, Birmingham.

Methods:

All patients with a new diagnosis of diabetes on their admission with covid-19 pneumonia (pre-dexamethasone use) between March and June 2020 were examined. Demographics, comorbidities, medication history, investigations, management and outcomes were analysed.

Results:

Twelve patients were identified. Demographic analysis revealed (all median [IQR]);Age 59.5 [51.5-69.3] years, body mass index 27.4 [26.0-28.9] kg/m2 and length of admission 21.5 [7.5-28.8] days. The majority of patients were male (9/12) and most were diagnosed with type 2 diabetes (9/12). Seven patients had no diabetes symptoms prior to admission and positive family history was uncommon (1/12). Median glucose reading on admission was 16.0 [10.0-29.0] mmol/l, HbA1c 62.5 [47-104] mmol/mol. During admission, median percentage of glucose in target (5-15 mmol/l) for individual patients was 71.6 [46.4-91.0]% and median percentage of glucose levels in hypoglycaemic range (<4 mmol/l) was 0.8 [0.0-2.6]%. Intravenous insulin was required by half of patients (6/12). 5/12 (41.7%) patients were admitted to the critical care unit versus 69/497 (13.8%) patients with pre-existing diabetes and covid-19, median length of stay was 18.5 [13.3-23.0] days versus 7 [3-13] days. 3/12 patients died during admission (25.0%) versus 112/497(23%) patients with pre-existing diabetes and covid-19. Of the nine patients discharged, six required long-term antidiabetes therapy;five with insulin and one with oral diabetic treatment.

Conclusion:

A new diagnosis of diabetes in combination with covid-19 infection is associated with high rates of complication relating to glucose control and need for intensive care during admission.

Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Diabetic Medicine Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Diabetic Medicine Year: 2021 Document Type: Article