IDF21-0427 Gender differences in age, new onset vs established diabetes in patients with Covid in an urban healthcare centre in India

ABSTRACT

Background: Diabetes and its association with poor outcomes in patients with COVID-19 is a well established fact. In this study, we are focusing on gender differences in age of occurrence of COVID 19, gender differences in patients with newly diagnosed diabetes vs established diabetes. Through this study, we are trying to focus on gender specific diabetes care in the background of the current pandemic. Aim: 1. To compare the gender differences in age of occurrence of Covid 19. 2. To find out the gender difference in patients with newly diagnosed diabetes vs established diabetes. Method: All patients admitted to the Voluntary Health Services (VHS) hospital with confirmed COVID-19 from May 2020 - May 2021 were included. Established diabetes was determined using patients’ history and patients were considered to have newly diagnosed diabetes if the HbA1c level at admission was ≥6.5% and no known history of diabetes. Age was categorised into five groups Group 1 Those below 25, Group 225–40, Group 3 41–60, Group 4 61–80, Group 5 Above 80. The data was retrieved from our hospital medical records. Results: Of 497 patients who had Covid with diabetes, we could include 411 patients for the analysis of newly diagnosed vs established diabetes. The results were as follows (See Table 1 and 2) This study has revealed that the incidence of newly diagnosed diabetes is higher in men. As for clinical outcome, mortality rate was higher in men than women. More men got admitted with COVID 19 than women in all age groups. Discussion: Our study has revealed that overall 42.8% were under the age of 60. More men had Covid at all ages and their outcomes were poorer. More men had new onset diabetes than women. Nearly 25% of the men and 15% of the women had new onset diabetes which has serious implications for future burden of diabetes. Follow up is the need of the hour especially for women who already have an increased lifetime risk of diabetes.