ABSTRACT
AIM: The pandemic has generated the need for COVID-19 patients to be treated as best as possible; however, the effect of these treatments on glycemic control has not yet been taken into account. This article aims to determine whether the daily variation of glucose is influenced by the use of corticosteroids in COVID-19 patients treated in Lima-Peru. METHODOLOGY: A prospective cohort study was undertook, in which glucose was measured four times a day in 53 patients hospitalized due to COVID-19. These values were associated with the use of corticosteroids and adjusted for other socio-educational variables, all by means of PA-GEE models. RESULTS: Nested multivariate analysis of daily glucose variation found that those using corticosteroids increased the daily average glucose as well as the first and last glucose measurements, this is, at 6am and 10pm, respectively (all p-values <0.026). An increase in glucose levels was also observed in those with diabetes (all p-values <0.001). In contrast, we found that there was a decrease in the last glucose measurement of the day in obese patients (p-value = 0.044). CONCLUSIONS: The patients who used corticosteroids for the treatment of COVID-19 increased the average glucose per day, especially in the first and last measurement.
Subject(s)
Adrenal Cortex Hormones/adverse effects , Blood Glucose/analysis , COVID-19 Drug Treatment , Hyperglycemia/pathology , SARS-CoV-2/isolation & purification , Aged , Blood Glucose Self-Monitoring/methods , COVID-19/epidemiology , COVID-19/virology , Female , Humans , Hyperglycemia/chemically induced , Hyperglycemia/metabolism , Male , Middle Aged , Peru/epidemiology , Prospective StudiesABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Carcinoma, Papillary/complications , Thyroid Neoplasms/complications , Carcinoma, Squamous Cell/complications , Thyroidectomy , LaryngectomySubject(s)
Carcinoma, Squamous Cell , Carcinoma , Neoplasms, Multiple Primary , Thyroid Neoplasms , Carcinoma/pathology , Carcinoma, Papillary , Carcinoma, Squamous Cell/pathology , Female , Humans , Middle Aged , Neoplasms, Multiple Primary/pathology , Thyroid Cancer, Papillary , Thyroid Neoplasms/pathologySubject(s)
Hypoglycemia/diagnosis , Aged, 80 and over , Diagnostic Errors , Humans , Hypoglycemia/etiology , MaleSubject(s)
Diabetic Ketoacidosis/complications , Pericarditis/etiology , Acute Disease , Adult , Colchicine/therapeutic use , Diabetic Ketoacidosis/blood , Diabetic Ketoacidosis/diagnosis , Diabetic Ketoacidosis/drug therapy , Drug Therapy, Combination , Electrocardiography , Glycated Hemoglobin/analysis , Humans , Ibuprofen/therapeutic use , Insulin, Short-Acting/therapeutic use , Male , Pericarditis/blood , Pericarditis/drug therapy , Potassium/bloodSubject(s)
Humans , Female , Middle Aged , Sella Turcica/pathology , Brain Neoplasms/pathology , Magnetic Resonance SpectroscopySubject(s)
Hypertriglyceridemia/therapy , Plasmapheresis , Adamantane/analogs & derivatives , Adamantane/therapeutic use , Adult , Diabetes Mellitus, Type 2/blood , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/drug therapy , Diet, Fat-Restricted , Drug Therapy, Combination , Emergencies , Humans , Hyperglycemia/blood , Hyperglycemia/drug therapy , Hyperglycemia/etiology , Hypertriglyceridemia/blood , Hypertriglyceridemia/complications , Hypertriglyceridemia/diet therapy , Hypoglycemic Agents/therapeutic use , Insulin/therapeutic use , Male , Metformin/therapeutic use , Nitriles/therapeutic use , Pyrrolidines/therapeutic use , VildagliptinSubject(s)
Meningioma/diagnosis , Sella Turcica , Skull Neoplasms/diagnosis , Female , Humans , Middle AgedSubject(s)
Humans , Female , Aged , Goiter, Substernal/complications , Superior Vena Cava Syndrome/etiologySubject(s)
Goiter, Substernal/complications , Superior Vena Cava Syndrome/etiology , Aged , Albumins/therapeutic use , Atrial Fibrillation/complications , Blood Vessel Prosthesis Implantation , Combined Modality Therapy , Diabetes Mellitus, Type 2/complications , Dopamine/therapeutic use , Fatal Outcome , Female , Furosemide/therapeutic use , Goiter, Substernal/diagnostic imaging , Goiter, Substernal/surgery , Heart Arrest/etiology , Humans , Hypertension/complications , Obesity, Morbid/complications , Pleural Effusion/etiology , Sleep Apnea, Obstructive/complications , Stents , Superior Vena Cava Syndrome/diagnostic imaging , Superior Vena Cava Syndrome/surgery , Thyroidectomy , Tomography, X-Ray ComputedSubject(s)
Carcinoma, Papillary/pathology , Thyroid Neoplasms/pathology , Adult , Carcinoma, Papillary/classification , Carcinoma, Papillary/diagnostic imaging , Carcinoma, Papillary/radiotherapy , Carcinoma, Papillary/secondary , Carcinoma, Papillary/surgery , Combined Modality Therapy , Humans , Iodine Radioisotopes/therapeutic use , Lymphatic Metastasis/radiotherapy , Male , Radionuclide Imaging , Radiopharmaceuticals/therapeutic use , Sclerosis , Thyroid Neoplasms/diagnostic imaging , Thyroid Neoplasms/surgery , ThyroidectomyABSTRACT
La fístula linfática es una complicación poco frecuente tras mastectomía. A continuación se presenta el caso clínico de una paciente con dicha complicación y se discuten las diferentes alternativas terapéuticas (AU)
Chylous leak is a rare complication after breast cancer surgery. We present the case of a patient with a chylous leak and discuss the management options (AU)
Subject(s)
Humans , Female , Aged, 80 and over , Fistula/etiology , Lymphatic Diseases/etiology , Mastectomy/adverse effectsABSTRACT
Chylous leak is a rare complication after breast cancer surgery. We present the case of a patient with a chylous leak and discuss the management options.
