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如果我们在血糖控制方面做得更好,能否降低新冠病毒疾病(COVID-19)的死亡率?

Can We Reduce Mortality of COVID-19 if We do Better in Glucose Control?

作者信息

Deng Mingyan, Jiang Ling, Ren Yan, Liao Jiayu

机构信息

West China-California Center for Predictive Intervention Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Biochemistry and Molecular biology Department, School Basic Medical Science, Heilongjiang University of Chinese Medicine, 24 Heping Road, Harbin, 150040, P.R.China.

出版信息

Med Drug Discov. 2020 Sep;7:100048. doi: 10.1016/j.medidd.2020.100048. Epub 2020 Jun 2.

Abstract

The SARS-CoV-2 has infected more than 3 million people and caused more than 240,000 death globally. Among the COVID-19 patients, the prevalence of people with other chronic diseases, such as diabetes, high blood pressure, and coronary heart disease is much higher than others. More strikingly, the survival rate of diabetic patients is also much lower than in non-diabetic patients. In addition to the general damage of high glucose to cells and tissues, a recent discovery that high glucose activates interferon regulatory factor 15 promotes influenza virus -induced cytokine storm. This discovery may shed light on the high incidence of diabetes in COVID-19. Several diabetes prevention strategies together with recent significant data-driven diabetes prediction approaches, which may help COVID-19 treatments, have been proposed.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)已在全球感染了超过300万人,并导致超过24万人死亡。在2019冠状病毒病(COVID-19)患者中,患有其他慢性病(如糖尿病、高血压和冠心病)的人的患病率远高于其他人。更引人注目的是,糖尿病患者的存活率也远低于非糖尿病患者。除了高血糖对细胞和组织的一般性损害外,最近一项发现表明高血糖激活干扰素调节因子15会促进流感病毒诱导的细胞因子风暴。这一发现可能有助于解释COVID-19中糖尿病的高发病率。人们已经提出了几种糖尿病预防策略以及近期基于大量数据的重要糖尿病预测方法,这些可能有助于COVID-19的治疗。

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Practical recommendations for the management of diabetes in patients with COVID-19.关于 COVID-19 患者糖尿病管理的实用建议。
Lancet Diabetes Endocrinol. 2020 Jun;8(6):546-550. doi: 10.1016/S2213-8587(20)30152-2. Epub 2020 Apr 23.
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COVID-19 and diabetes: Knowledge in progress.新型冠状病毒肺炎与糖尿病:知识在不断更新。
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Clinical course and mortality risk of severe COVID-19.重症新型冠状病毒肺炎的临床病程及死亡风险
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