Hu Rujun, Gao Huiming, Huang Di, Jiang Deyu, Chen Fang, Fu Bao, Yuan Xiaoli, Li Jin, Jiang Zhixia
Department of Emergency.
Department of Nursing.
Medicine (Baltimore). 2020 Jun 26;99(26):e20844. doi: 10.1097/MD.0000000000020844.
Coronavirus disease 2019 (COVID-19) has emerged as a rapidly spreading communicable disease affecting individuals worldwide. Patients with diabetes are more vulnerable to the disease, and the mortality is higher than in those without diabetes. We reported a severe COVID-19 patient with diabetes and shared our experience with blood glucose management.
A 64-year-old female diabetes patient was admitted to the intensive care unit due to productive coughing for 8 days without any obvious cause. The results of blood gas analysis indicated that the partial pressure of oxygen was 84 mm Hg with oxygen 8 L/min, and the oxygenation index was less than 200 mm Hg. In addition, postprandial blood glucose levels were abnormal (29.9 mmol/L).
The patient was diagnosed with COVID-19 (severe type) and type 2 diabetes.
Comprehensive interventions including establishing a multidisciplinary team, closely monitoring her blood glucose level, an individualized diabetes diet, early activities, psychological care, etc, were performed to control blood glucose while actively treating COVID-19 infection.
After the comprehensive measures, the patient's blood glucose level gradually became stable, and the patient was discharged after 20 days of hospitalization.
This case indicated that the comprehensive measures performed by a multidisciplinary team achieved good treatment effects on a COVID-19 patient with diabetes. Targeted treatment and nursing methods should be performed based on patients' actual situations in clinical practice.
2019年冠状病毒病（COVID-19）已成为一种迅速传播的传染病，影响着全球各地的个人。糖尿病患者更容易感染这种疾病，且死亡率高于非糖尿病患者。我们报告了一名患有糖尿病的重症COVID-19患者，并分享了我们在血糖管理方面的经验。
一名64岁的女性糖尿病患者因无明显原因咳嗽8天而入住重症监护病房。血气分析结果显示，吸氧8升/分钟时氧分压为84毫米汞柱，氧合指数小于200毫米汞柱。此外，餐后血糖水平异常（29.9毫摩尔/升）。
该患者被诊断为COVID-19（重型）和2型糖尿病。
采取了综合干预措施，包括组建多学科团队、密切监测她的血糖水平、个性化糖尿病饮食、早期活动、心理护理等，以控制血糖，同时积极治疗COVID-19感染。
经过综合措施，患者的血糖水平逐渐稳定，住院20天后出院。
该病例表明，多学科团队采取的综合措施对一名患有糖尿病的COVID-19患者取得了良好的治疗效果。临床实践中应根据患者的实际情况采取有针对性的治疗和护理方法。
