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Am J Trop Med Hyg ; 110(3): 512-517, 2024 Mar 06.
Article in English | MEDLINE | ID: mdl-38350147

ABSTRACT

Although the short-term mortality of patients with COVID-19 infection and hyperglycemia has been well documented, there is little available data regarding longer-term prognosis. The presence of diabetes has not only influenced disease severity but has also impacted its transmission dynamics. In this study, we followed a historical cohort of patients without previous history of diabetes who presented with moderate to severe COVID-19 and were found to have hyperglycemia (random blood glucose > 140 mg/dL) at the time of admission. We evaluated the need for antidiabetic therapy in these patients at the end of 6 months and the risk factors associated with persistent hyperglycemia determined by monthly values of self-monitored blood glucose. Of the seventy participants who were followed telephonically, 54 (77%) continued to receive antidiabetic therapy or have persistent hyperglycemia (> 140 mg/dL) at the end of 6 months. Persistent hyperglycemia at the end of follow-up, was found to be associated with a higher blood glucose at presentation.


Subject(s)
COVID-19 , Diabetes Mellitus , Hyperglycemia , Humans , Cohort Studies , Blood Glucose , COVID-19/complications , Hyperglycemia/complications , Diabetes Mellitus/epidemiology , Hypoglycemic Agents , Retrospective Studies
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