Proposed guidelines for screening of hyperglycemia in patients hospitalized with COVID-19 in low resource settings
| Autor: | Alpesh Goyal, Setu Gupta, Nikhil Tandon, Yashdeep Gupta |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Blood Glucose
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Low resource Endocrinology Diabetes and Metabolism Pneumonia Viral 030209 endocrinology & metabolism 030204 cardiovascular system & hematology Health outcomes Low resource setting Article 03 medical and health sciences Betacoronavirus 0302 clinical medicine Diabetes mellitus Pandemic Health care Internal Medicine medicine Diabetes Mellitus Humans In patient Intensive care medicine Pandemics Poverty Monitoring Physiologic business.industry SARS-CoV-2 Diabetes COVID-19 General Medicine medicine.disease Comorbidity Hospitalization Hyperglycemia Practice Guidelines as Topic Screening business Coronavirus Infections |
| Zdroj: | Diabetes & Metabolic Syndrome Diabetes & Metabolic Syndrome: Clinical Research & Reviews |
| ISSN: | 1878-0334 |
| Popis: | Background and aims The coronavirus disease 2019 (COVID-19) pandemic has immensely strained healthcare systems worldwide. Diabetes has emerged as a major comorbidity in a large proportion of patients infected with COVID-19 and is associated with poor health outcomes. We aim to provide a practical guidance on screening of hyperglycemia in persons without known diabetes in low resource settings. Methods We reviewed the available guidelines on this subject and proposed an algorithm based on simple measures of blood glucose (BG) which can be implemented by healthcare workers with lesser expertise in low resource settings. Results We propose that every hospitalized patient with COVID-19 infection undergo a paired capillary BG assessment (pre-meal and 2-h post-meal). Patients with pre-meal BG Highlights • In-patient hyperglycemia is associated with poor clinical outcomes, especially in patients with undiagnosed diabetes. • We propose an algorithm for screening of in-patient hyperglycemia in low resource settings. • This algorithm should be researched further in low resource and other settings. |
| Databáze: | OpenAIRE |
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