24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
(361)575-0611
Fax: (361)578-5500
Regular Hours: M-Fri 8am - 5pm
Every 3rd Thurs of the Month - Extended Hours Until 7 pm

Medical Disorders
Resources
Basic InformationLookupsLatest News
Urinary Incontinence Surgery Won't Raise a Woman's Cancer RiskCOVID Vaccines Trigger Protective Immune Response in Nursing Home Residents: StudyCOVID Vaccines Might Not Protect Certain Cancer PatientsHad Facial Fillers? What You Need to Know About COVID VaccinesAntibody Cocktail May Curb Infection in Unvaccinated Who Are Exposed to COVID-19Scientists Find Clues to Why AstraZeneca's Vaccine May Cause ClotsYou've Got Fungi in Your Lungs, and That's OKNon-Emergency Surgeries Are Rebounding, But Backlogs RemainPandemic Has Put Many Clinical Trials on HoldSupply of J&J COVID Vaccine to Drop 86 Percent Next WeekStressed, Exhausted: Frontline Workers Faced Big Mental Strain in PandemicNIH Starts Trial Looking at Rare Allergic Reactions to COVID VaccinesNot Just Keyboards: Many Types of Workers Can Develop Carpal TunnelBlack Women Are Dying of COVID at Much Higher Rates Than White MenTwo Vaccines Show Effectiveness Against Emerging COVID VariantsWomen More Prone to Concussion's Long-Term Harms: StudyCOVID Cases Climb in the Midwest as British Variant Takes Hold in U.S.'Heart-in-a-Box' Can Be Lifesaving, Matching Up Distant Donors With PatientsNo Proof COVID Vaccines Can Trigger Guillain-Barré SyndromeFor People With PAD, Exercise Can Be Tough But RewardingPublic Lost Trust in CDC During COVID Crisis: Poll1 in 3 COVID Survivors Struggle With Mental Health Issues Months LaterA Few People With COVID Went a Crowded Bar: Here's What HappenedNearly 8 in 10 School, Child Care Staff Have Gotten at Least 1 Dose of COVID Vaccine: CDCModerna COVID Vaccine Offers Protection for at Least 6 Months: StudyStrain of COVID Care Has Many Health Professionals Looking for an ExitCOVID Shot Earlier in Pregnancy Better for Baby: StudyDoctors' Group Says Antibiotics Can Be Taken for Shorter PeriodsIf You've Had COVID, One Vaccine Jab Will Do: StudyAbout 40,000 U.S. Children Have Lost a Parent to COVID-19Study Refutes Theory That Blood Type Affects COVID RiskHow Willing Are Americans to Donate COVID Vaccines to Other Countries?Got Your COVID Vaccine? Don't Stop Being Cautious, Experts SayCOVID Drove 23% Spike in U.S. Deaths In 2020Faster-Spreading COVID Variant Expanding in United StatesWhen Will America's Kids Get Their COVID Vaccines?AHA News: Why You Should Pay Attention to InflammationMany Recovering COVID Patients Show Signs of Long-Term Organ DamageCOVID Fears Mean More Cancers Are Being Diagnosed at Later StagesSome Hospitalized COVID Patients Develop SeizuresCan Vaccinations Stop COVID Transmission? College Study Aims to Find OutCDC Confirms COVID as Third Leading Cause of Death in 2020Research Reveals How Aspirin Helps Prevent Colon CancerPfizer Says Its COVID Vaccine Is Very Effective in Kids as Young as 12AHA News: The Secret to Good Health Is No Secret. So Why Is It So Hard to Achieve?'Couch Potato' Lifestyles Cause Up to 8% of Global Deaths: StudyHave to Travel During Spring Break? Here's How to Stay SafeNew Coronavirus Can Also Infect Cells in the MouthBiden, Top Health Officials Warn of Risk of Another COVID SurgeAHA News: Black Young Adults Face Higher Stroke Risk Than Their White Peers
Questions and AnswersLinks
Related Topics

Diabetes

A Fifth of COVID Patients With Diabetes Die Within 1 Month of Hospitalization

HealthDay News
by By Ernie Mundell and Robert Preidt HealthDay Reporters
Updated: Feb 18th 2021

new article illustration

THURSDAY, Feb. 18, 2021 (HealthDay News) -- Diabetes is a big risk factor for a severe bout of COVID-19, and a new European study bears that out: It finds that 1 in every 5 hospitalized COVID-19 patients with diabetes die within 28 days of admission.

One U.S. expert wasn't surprised by that grim finding.

"Diabetic patients are clearly in a very high-risk category and should be among the first groups of people to get the vaccine," advised Dr. Mangala Narasimhan, who directs critical care services at Northwell Health in New Hyde Park, N.Y. She also advises people with diabetes to make sure they are taking control of their blood sugar levels and avoiding any complications of the disease.

Such steps "seem to really make a difference in terms of survival from COVID infection," said Narasimhan, who wasn't involved in the new study.

The research was led by Bertrand Cariou and Samy Hadjadj, diabetologists at University Hospital Nantes in France. In May of last year they had released preliminary findings that showed that 10% of COVID-19 patients with diabetes died within seven days of hospital admission.

The newer, updated results are from a larger number of patients -- close to 2,800 -- treated for COVID-19 at 68 hospitals across France. Their mean age was 70, nearly two-thirds were men, and many were overweight. About 40% were also experiencing various forms of complications from their diabetes.

During the 28 days after their admission to a hospital, 21% of patients died, the French team reported Feb. 17 in the journal Diabetologia.

Of those patients who survived at least one month, 50% were discharged from the hospital with a median stay of nine days; 12% were still hospitalized at day 28, and 17% had been transferred from their first hospital to another facility.

Younger age, routine diabetes therapy using the drug metformin, and having had symptoms longer prior to hospital admission were key factors associated with a higher likelihood of being discharged from the hospital, the researchers said.

Patients who regularly took insulin -- possibly indicating more advanced diabetes -- had a 44% higher risk of death than those who didn't take insulin, the investigators said. Long-term blood sugar control wasn't associated with patient outcomes, but a higher level of blood sugar at the time of hospital admission was a strong predictor of death and of a lower chance of discharge.

Dr. Barbara Keber directs family medicine at Glen Cove Hospital in Glen Cove, N.Y. Reading over the findings, she said they show "diabetes is clearly a significant risk factor for both need for ICU/ventilator care in the hospital as well as for death" within a month of admission.

Keber said it "makes sense" that people with complications from poorly controlled diabetes are at higher risk, since this creates a "pro-inflammatory state" that is similar to that seen in advanced COVID-19.

But Keber also cautioned that death rates may have improved for COVID-19 patients, including those with diabetes, over the past year.

"This study was done in the first wave of the pandemic, and many of the current treatment regimens and medications that were tried in the early phase have been found to not be beneficial and other treatment regimens have taken their place," she noted.

For example, "the current use of steroids for treatment may play a role in the [improved] prognosis of patients overall and especially for those with diabetes," Keber said.

More information

The American Diabetes Association has more on COVID-19.

SOURCES: Mangala Narasimhan, DO, director, critical care services, Northwell Health, New Hyde Park, N.Y.; Barbara Keber, MD, chair, family medicine, Glen Cove Hospital, Glen Cove, N.Y.; Diabetologia, news release, Feb. 17, 2021