Doctors believe that diabetes may be one of the post-covid effects.

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Doctors believe that diabetes may be one of the post-covid effects.

Evidence has begun to appear around the world and doctors are beginning to be convinced that some people recovered from covid-19 may become diabetic.

The doctor Francesco Rubino, from King’s College London, in the United Kingdom, is one of the main scholars of the subject at the moment and for him, it is possible to make a relationship between patients who have already recovered from covid and have become diabetics out of nowhere.

He says that these evaluated patients did not have the slightest sign of diabetes before being infected, and were later diagnosed with the disease.

In August Rubino sent a letter to the editor of The New England Journal of Medicine, where he stressed that viral infection has the potential to trigger diabetes.

In the letter, he says that in the first SARS epidemic (a coronavirus similar to the one causing covid), in 2003, in China, it was observed that some recovered patients had a higher incidence of fasting blood glucose and acute onset diabetes.

Strong evidence

“These observations provide support for the hypothesis of a potential diabetogenic effect of covid-19, in addition to the well-known stress response associated with serious illnesses. However, it is not clear whether the changes in glucose metabolism that occur with a sudden onset in [covid-19 severe] patients persist or resolve when the infection resolves. ”

“The purpose of the record is to establish the extent and phenotype of recent-onset diabetes that is defined by hyperglycemia, confirmed covid-19, negative history of diabetes, and a history of normal glycated hemoglobin level. The registry, which will be expanded to include patients with preexisting diabetes who have a severe acute metabolic disorder, can also be used to investigate the epidemiological characteristics and pathogenesis of covid-19-related diabetes and to provide clues about proper treatment for patients during and after the covid-19 course. 

Search

In order to have an effective answer on the incidence of the disease in patients recovered from covid-19, the doctor asks specific questions;

1) How often is the phenomenon of recent-onset diabetes, and is it classic type 1 or type 2 diabetes or a new type of diabetes?

2) Do these patients have a higher risk of becoming diabetic or contracting diabetic ketoacidosis?

3) In patients with pre-existing diabetes, does covid-19 change the underlying pathophysiology and natural history of the disease?

With the answers in hand, he seeks to draw a real picture of the percentage of patients who developed diabetes after being infected and curing the virus.

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