Management of Diabetes During a Dual Pandemic.
Management of Diabetes During a Dual Pandemic.
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DOI：
10.1016/j.nurpra.2020.12.021
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Andrabi MS
中科院分区：
文献类型：
--
作者：
Appel SJ;Wadas TM;Andrabi MS
冠状病毒病（COVID-19）和糖尿病在患者中的双重流行与2至3倍的重症监护入院率和更高的死亡率相关。无论是在家避难、COVID-19检测呈阳性隔离还是住院，糖尿病患者都需要特殊考虑才能成功管理。患有糖尿病和COVID-19阳性会增加不良结局和死亡的风险。提供者需要在COVID-19封锁期间为糖尿病患者提供预期的药理学指导。糖尿病患者需要比其他人更善于观察，并采取自我保护措施。本综述（1）讨论了COVID-19、糖尿病和潜在机制的临床观察结果，（2）描述了在COVID-19环境中护理糖尿病患者的特殊考虑，（3）回顾了对医疗保健提供者的临床意义。这篇综述强调了当前基于证据的知识。关于临床管理的额外研究是必要的
The dual pandemics of coronavirus disease-19 (COVID-19) and diabetes among patients are associated with 2- to 3-times higher intensive care admissions and higher mortality rates. Whether sheltering at home, quarantined with a positive COVID-19 test, or hospitalized, the person living with diabetes needs special considerations for successful management. Having diabetes and being COVID-19–positive increases the risk of poor outcomes and death. Providers need to give anticipatory pharmacologic guidance to patients with diabetes during COVID-19 lockdown. Patients with diabetes need to be more observant than others and to use self-protective actions. This review (1) discusses the clinical observations of COVID-19, diabetes and underlying mechanisms, (2) describes special considerations in caring for patients with diabetes in a COVID-19 environment, and (3) reviews clinical implications for the health care provider. This review highlights current evidenced-based knowledge. Additional research regarding clinical management is warranted
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