As a public health measures to control the spread of the pandemic coronavirus, social distancing and home quarantine are implemented in some countries.
As a matter of fact, patients are absence from clinic under COVID-19, and clinic-based diabetic control monitoring becomes challenging.
Do you expect a change in diabetic control for these patients when staying home?
They have less exercise, and may eat more snacks at home.
Or in contrast, they are too bored, and have time to develop new exercise without pressure from work? Besides, they are banned from social around, and may eat drink less alcohol and eat less feast.
What do you think?
COVID-19 will increase vascular complications
Coronavirus associated with respiratory distress and ph changes Both Quarantine &Thinking increase stress hormones so more oxidations Limited Exercise will increase blood glucose level
Presentation Patient Treatment in Corona Virus
[1] Practical recommendations for the management of diabetes in patients with COVID-19
Lancet diabetes and endocrinology
https://doi.org/10.1016/S2213-8587(20)30152-2
[2] Hussain A, Bhowmik B, do Vale Moreira NC. COVID-19 and diabetes: Knowledge in progress
Diabetes Res Clin Pract. 2020;162:108142.
https://doi.org/10.1016/j.diabres.2020.108142
[3] Diabetes patients with COVID-19 need better blood glucose management in Wuhan, China
Metabolism - Clinical and Experimental
https://doi.org/10.1016/j.metabol.2020.154216
[4] Challenges of diabetes management during the COVID-19 pandemic.
Med J Aust 2020;
https://www.mja.com.au/journal/2020/challenges-diabetes-management-during-covid-19-pandemic
Ultimately, only properly collected data from a sound study can give us the best estimate of an answer to this question. However, in my opinion, I am expecting a worsening of diabetic control on average across diabetics in quarantine and who will not contract COVID-19. Less physical activity and higher ratio of food intake not burned through activity are ingredients of a metabolic "nightmare" especially for related diseases such as diabetes mellitus, dyslipidemia and hypertension.
COVID-19 will increase vascular complications
Coronavirus associated with respiratory distress and ph changes Both Quarantine &Thinking increase stress hormones so more oxidations Limited Exercise will increase blood glucose level
Presentation Patient Treatment in Corona Virus
While 'stay home' is highly recommended to curve COVID-19 spread these days, we cannot deny 'stay home' also comes with a price. 'Stay home' would greatly influence physical inactivity impairing glycemic control aggravating DM condition or predisposing to DM condition. Agree with you Author!
DPP4 inhibition: preventing SARS-CoV-2 infection and/or progression of COVID-19?.
Diabetes Metab Res Rev. 2020 Apr 26.
Article DPP4 inhibition: preventing SARS‐CoV‐2 infection and/or prog...
I think, rate of diabetes patients may be decrease ( specially which type patient staying in home and want to be change of life style) because diabetes is a disease of imbalances of matabolism activities, if patients maintain CO2 and O2 ratio in body system. There will be also help in decrease rates of diabetes case in the lockdown season.
Behavioral trends might shed some light on your question. It mostly depends on the type of patient, for some this additional time from not commuting to work has allowed the establishment of new home routines that include exercise and cooking at home, improvements might be a reality for such groups. However, a more robust group will be under stress with economic pressures, anxiety, and eating junk/comfort food might be more common in this type of patient. It will all boil down to what type of recommendations are being followed and if health providers are being diligent in using telemedicine practices to follow-up with their patients.
Staying at home during this pandemic infection is imperative to curb the transmission. whether the diabetic control will improve or deteriorate depends on the patients and government palliative factors. The level of the patient's knowledge on his clinical problem is a great determinant factor while the government palliative cushioning effect to allay anxiety and fear is another. patients who monitor their glucose level daily, keep strictly to the recommended diet and carry out indoor physical exercise within his house will manage their glycemic control well. Provision of palliatives to the vulnerable diabetic patients will provide psychosocioeconomicl support and prevent the temptation of derailing from the dos and donts of diabetes control that may worsen the condition. Family support is also crucial at this time. therefore, I wish all diabetic individuals to try their best possible during this pandemic to be calm, keep strictly to their nutritional diet recommendation, use their medications and observe indoor physical exercises until this pandemic is over. Best wishes!
Not only diabetic control in already known diabetic patients is a challenge during lockdowns and social distancing based on the information on telephonic virtual clinic, new-onset diabetes is also a complication of COVID-19.
Follow these links:
1. Article Diabetes in COVID-19: Prevalence, pathophysiology, prognosis...
2. Article COVID-19 infection in Italian people with diabetes: Lessons ...
3. https://www.idf.org/aboutdiabetes/what-is-diabetes/covid-19-and-diabetes.html
In the present times of corona pandemic "Stay Home" is the basic need of the hour. There is no other better option to prevent corona. Diabetic patients can burn calories by home based physical exercises and diet control. They can opt remote gym joining by electronic communication with the gym or physical instructors. There is no other choice
@Uzma Zafar
Dear madam, I really respect to you, I want know if any patients do exercise or physical activity, diabetes may be control or not. If Yes, so insulin is a catabolism hormone (as per your statement) and insulin can help for decrease of blood sugar level in human being. But insulin is an anabolism hormone. So how can manage this contrast? . I m very excited for you'r answer, tell me.
I expect the Diabetic control will deteriorate with patients staying from home under COVID-19, because of inactivity caused by staying at home and disruption of medical checks. But I still think this is related to personality structure of the patients.
Although control of diabetes varies from person to person however in the present circumstances; physical inactivity and mental stress are predisposing factors for deterioration of diabetic control
Patients who I have been in contact with during the coronavirus pandemic, have been lucky to have time off work. When they phoned in with their current health issue, I have been cheeky and asked them what they are doing about getting provisions and exercise.
In the proactive atients with internet access, they have been able to look for suggestions about exercise in the home and garden environment. I have pointed them to diabetes.org.uk for exercise and energy useage basic information.
I feel morivation has a great deal of influence on patient liklihood of good glucose control.
Thankfully the fast food places have been closed down, so this is a major benefit for diabetic patients, no longer being taunted.
Also haveing the luxury of not being at work and beng furloughed, means patients still have income. With Gyms closed too, patients are being inspired to use home exercise (look for "The skipping Sikh", and also Captain Tom's achievements for inspiration) . I'm just beginning to get IFCC levels for patients from the beginning of lockdown, but there is little change in comparison levels recently.
Maybe.........
You can control NCDs even at staying home but you have to protect yourself and also others from the spread of Corona. It's urgency to control the pandemic crisis.
I think it gets increases because of physical inactivity and mental stress
- Badges
- Science topic
- Similar topics
- Medicine