Departamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil.
Rev Saude Publica. 2020;54:54. doi: 10.11606/s1518-8787.2020054002577. Epub 2020 May 29.
The coronavirus disease 2019 (covid-19) pandemic has caused a public health emergency worldwide. Risk, severity and mortality of the disease have been associated with non-communicable chronic diseases, such as diabetes mellitus. Accumulated evidence has caused great concern in countries with high prevalence of this morbidity, such as Brazil. This text shows the picture of diabetes in Brazil, followed by epidemiological data and explanatory hypothesis for the association between diabetes and covid-19. We emphasized how the burden of these two morbidities in a middle-income country has aggravated this pandemic scenario. The comprehension of this association and biological plausibility may help face this pandemic and future challenges.
2019 年冠状病毒病（COVID-19）大流行已在全球范围内引发公共卫生紧急事件。该疾病的风险、严重程度和死亡率与非传染性慢性病有关，例如糖尿病。积累的证据引起了高发病率国家的极大关注，例如巴西。本文展示了巴西的糖尿病情况，随后是流行病学数据和对糖尿病与 COVID-19 之间关联的解释性假设。我们强调了中等收入国家的这两种疾病负担如何加剧了这种大流行情况。对这种关联的理解和生物学合理性可能有助于应对这一大流行和未来的挑战。
