People with type 1 diabetes are more likely to die of Covid-19 than those with type 2, according to NHS research confirming that diabetes significantly increases coronavirus sufferers’ risk of dying.Almost one in three of all deaths from coronavirus among people in hospital in England during the pandemic have been associated with diabetes, according to the study.
People with type 1 diabetes – the autoimmune form of the disease – are three-and-a-half times more likely to die if they catch Covid-19 than non-diabetics, while type 2 diabetics – those with the form closely linked to being overweight – are twice as likely to die as non-diabetics. Nine out of 10 diabetics have type 2, and many are obese.Age, however, is the biggest determining risk factor for death among those with either form of diabetes who get Covid-19. Under-40s have a very low risk compared with those over 40, and especially compared with older people, according to new findings collated by NHS England. People with type 1 diabetes, which is usually diagnosed in childhood, tend to be younger than those with type 2.
Reference: https://www.theguardian.com/society/2020/may/20/type-1-diabetics-type-2-coronavirus-nhs-study
Please see the link below.
https://www.cebm.net/covid-19/diabetes-and-risks-from-covid-19/
Thanks for sharing this point of view Dear Dr.Durrani
Considering the effects of diabetes on the immune system, it can be said that it is an immunosuppressive disease on its own.
So considering the genetic inheritance and effects on the immune system, its effects will start much earlier in Type 1 diabetes and therefore will have a greater effect on the patient, especially during active infection.
Ijaz Durrani
Whether you have hypertension or diabetic disease, the most important thing all the time and especially nowadays is to keep such disease under control by using the right medication and/or treatment on the right times.
@ Ijaz Durrani
Type 1 diabetes starting at a younger age is more likely to be have a poor control to target of HbA1c
Please see the link below.
https://www.cebm.net/covid-19/diabetes-and-risks-from-covid-19/
People with diabetes appear to be at increased risk of having a more severe COVID-19 infection, though evidence quantifying the increased risk is highly uncertain
https://www.touchendocrinology.com/insight/covid-19-infection-in-people-with-diabetes/
All patients with chronic diseases are more ready to be infected, including diabetes patients, especially type 1, because they are less immune.
But we are registering more death among type 2 diabetic patients with Covid-19 more than type 1.
Mahdi Movahed-Abtahi , good that you mentioned this. The fact do not surprise me at all, Type 2 Diabetes is associated with significantly older people than Type 1 Diabetes and many of Type 2 diabetic patients have already comorbidites (atherosclerosis, hypertension , high LDL and as mentioned AGE ) and all this put them theoretically in an increased risk to develop severe clinical symptoms after initial SARS-CoV-2 Infection. Type 1 Diabetics are younger , relative to Type 2 Diabetics, and have (usually) not insulin resistance , severe atherosclerosis , hypertension, overweight, atherogenic lipid profile .... One could assume, an optimal controlled young and otherwise healthy Type 1 diabetic patient has basically very good chances to recover from SARS-CoV-2 infection without complications other than an older Type 2 diabetic patient with many of already existing comorbidities. But still, type 1 diabetic patient gets older like every human, and once they are for example 50 or 60, assuming they developed diabetes in their childhood, they also will have (highly likely) some comorbidities and after 40-50 years of having diabetes, it cold be expected that they are at risk for severe SARS-CoV-2 infections. And finally, diabetic patients are not the only one subpopulation with increased risk of severe SARS-CoV-2 course. Patients with asthma, People with underlying uncontrolled or severe medical conditions such as liver, and kidney disease; cancer patients on chemotherapy; smokers transplant recipients taking immune suppressive steroids are all theoretically at increased risk of severe COVID-19 infection (in worst cases with lethal outcome) Thanks for the question
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