Health
In Chennai, Covid-19 infection poses a risk of diabetes. Chennai News
A post-Covid-19 clinic that screened more than 250 people in the last two weeks found that at least four healthy people had diabetes. At least the other 10 people with diabetes have worsened their condition, said Dr. R Umamaheshwari of the Community Health Department. Doctors at several private hospitals have reported the development of diabetes as one of the major complications after Covid.
Diabetes in Covid-19 patients is associated with an increased risk of morbidity, according to infectious disease experts, but metabolic complications, including the development of diabetes and organ failure, have been observed in Covid-19 patients.
Many diabetics have high doses due to conditions such as ketoacidosis (accumulation of dangerous levels of acidic substances called ketones) and hyperosmolarity (high concentrations of salt (sodium), glucose, and other blood substances). Insulin is infused. “Diabetes is the most common cause of death in Covid-19 patients, but it is now believed that there is a strong link between metabolic disorders and new viruses,” said Dr. Umamaheswari.
Scientists say that ACE-2, a protein that binds to SARS-Cov-2 (the virus that causes Covid-19), is a protein that allows entry into human cells and is involved in glucose metabolism in the pancreas, small intestine, etc. It states that it is in the organs and tissues that it does. Adipose tissue other than lungs, liver, kidneys. Doctors initially asked people to stop taking antihypertensive drugs that boost ACE inhibitors, but the recommendation was withdrawn because doctors felt the risks could outweigh the benefits.
The most cited reason for fluctuations in glucose levels is high doses of steroids during the active phase of viral infection. Steroids are effective in controlling the symptoms of some patients. It mimics the action of cortisol, a hormone produced in the body, increases insulin resistance and raises blood sugar levels. “They block the action of insulin. Because blood sugar levels are so high, the first drug these patients choose is insulin injections. After a few weeks, they gradually reduce insulin and put it in tablets. I don’t know if they can get their condition back, “he said.
Work is underway to determine whether the virus causes multiple complex dysfunctions of glucose metabolism or directly attacks the beta cells responsible for insulin deficiency. “Here in India, this type of diabetes (type 1) has not yet been seen,” said diabetes specialist Dr. V Mohan.
Infectious disease expert Dr. Subramanianswaminasan said at this time why the virus affects metabolism, or the onset of diabetes in these patients is type 1, type 2, or perhaps a new form of diabetes. It states that there is no evidence of this. “Global registration and detailed research will probably give us more data,” he said.
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