Diabetes cases are skyrocketing around the world, and experts fear that Covid-19 can exacerbate diabetes

IDF predicts that by 2024, the number of diabetics will increase to one in eight adults.

“It can be said that the world has stopped the increasing trend of diabetes as it celebrates its 100th anniversary of the discovery of insulin,” IDF President Andrew Balton told CNN. “Instead, diabetes is now a pandemic of unprecedented scale.”

So far, nearly 7 million adults have died worldwide in 2021. Due to diabetes or its complications, the IDF has estimated-more than 1 in 10 deaths worldwide from any cause.

It does not count the lives lost by the new coronavirus, which is especially deadly to people with diabetes. NS Study published in February It was found that having either type 1 diabetes or type 2 diabetes tripled the risk of serious illness and death from Covid-19.

“And if you want another amazing thing According to statistics, 40% of people who died of Covid-19 in the United States had diabetes, “said Dr. Robert Gabey, Chief Scientific and Medical Officer of the American Diabetes Association.

Balton, a professor of medicine at the University of Manchester in the United Kingdom, said the pandemic also hit how well people managed diabetes over the past year and a half.

“My fear is that people will miss screening appointments for fear of catching Covid-19, causing a tsunami in diabetes and its complications over the next two years,” he said.

Is Covid a Trigger for Diabetes?

These numbers are bad, but experts are concerned that Covid-19 could contribute to an even bigger problem.

“Covid may cause more people to develop diabetes,” Gabey told CNN.

Bolton reiterated that concern: “There is some debate about it at this time, but there may be certain Covid-induced diabetes.”

NS Global analysis published in 2020 It was found that 14% of people hospitalized with severe Covid-19 later developed diabetes.Another review Published in October this year We found new cases of type 1 or type 2 diabetes in infants, children, and adults infected with Covid-19.

“Because of the limited long-term follow-up of these patients, it is unclear whether newly developed diabetes is likely to remain permanent,” the study reported.

It is very likely that Covid-19 is not the cause. Abnormal blood sugar levels can be caused by steroids used to combat the stress of infection and inflammation of Covid-19, Gabbay said.

Another explanation is that the person may have had pre-diabetes-about 88 million Americans currently have it. American Medical Association and Centers for Disease Control and Prevention.. The organization has partnered with the Ad Council to create a new public services campaign. “Am I suffering from prediabetes?“”

People may also have previously undiagnosed diabetes. The IDF estimates that of the 537 million adults with diabetes worldwide, nearly half (44.7%) have not yet been diagnosed.

However, there is also evidence that SARS-CoV-2, the virus that causes Covid-19, can bind to ACE2 receptors in pancreatic islet cells, the body’s insulin-producing organs, Boulton and Gabbay told CNN. ..

“It may be another mechanism because the virus attacks these cells in the pancreas and blocks insulin production,” Gabey said. “And those who are first diagnosed with diabetes in the hospital are sadly exacerbated by either mechanism.”

Early detection is the key

Early identification is needed to reverse the increasing trend of diabetic cases. It is preferable to nip type 2 diabetes in the pre-diabetes stage, as it is before the body begins to be damaged by irregular blood sugar levels and it is easy to make lifestyle changes.

According to a Finnish study decades ago, people who “very slightly increased their blood sugar levels” with a wise diet and regular exercise “reduced their progression to type 2 diabetes by 54%.” “Balton said.

“And I didn’t have to whiplash in the gym,” he added. “Walking instead of taking a bus, climbing stairs instead of taking an elevator is a wise exercise. That will work.”

In two recent studies, Add about one-third of a cup of fruits and vegetables When added to the daily diet, the risk of developing type 2 diabetes may be reduced by 25%, but high intakes of whole grains such as brown bread and oatmeal may reduce the risk by 29%. there is.

Even serious diabetes can be relieved with diet, exercise, stress relief, and proper drug use, Gabey said.

“People in remission may still be at risk of some long-term complications and should therefore be monitored with quarterly blood tests, annual eye and foot tests. Annual screening for kidney disease and cholesterol levels. “

To determine if you are at risk for type 2 diabetes, the American Diabetes Association There is a 60 second online test. After answering a few questions about family history, age, gender, and physical activity, the test spits out the answers.

Over 60 years old, overweight, having gestational diabetes during pregnancy, having a family history of diabetes, currently living with high blood pressure, lack of exercise, etc. all increase the risk.

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