新冠后综合征（“长新冠”）与糖尿病：诊断与管理面临的挑战。
Post COVID-19 Syndrome ("Long COVID") and Diabetes: Challenges in Diagnosis and Management.
机构信息
Specialist in Internal Medicine, Badr Al Samaa, Barka, Oman.
National-Diabetes, Obesity and Cholesterol Foundation (N-DOC), SDA, New Delhi, 110016, India; Diabetes Foundation (India), New Delhi 110016, India; Fortis C-DOC Center of Excellence for Diabetes, Metabolic Diseases, and Endocrinology, B 16, Chirag Enclave, New Delhi, India.
出版信息
Diabetes Metab Syndr. 2021 Sep-Oct;15(5):102235. doi: 10.1016/j.dsx.2021.102235. Epub 2021 Jul 28.
BACKGROUND AND AIMS
Post Covid-19 syndrome (PCS) is a major cause of morbidity. In this article we intend to review the association and consequences of PCS and diabetes.
METHODS
We reviewed all studies on "Long Covid", "Post COVID-19 Syndrome" and diabetes in PubMed and Google Scholar.
RESULTS
The symptoms of PCS can be due to organ dysfunction, effects of hospitalisation and drugs, or unrelated to these. Type 2 diabetes mellitus has a bidirectional relationship with COVID-19. Presence of diabetes also influences PCS via various pathophysiological mechanisms. COVID-19 can add to or exacerbate tachycardia, sarcopenia (and muscle fatigue), and microvascular dysfunction (and organ damage) in patients with diabetes.
CONCLUSION
PCS in patients with diabetes could be detrimental in multiple ways. Strict control of diabetes and other comorbidities, supervised rehabilitation and physical exercise, and optimal nutrition could help in reducing and managing PCS.
背景与目的
新冠后综合征（PCS）是导致发病的主要原因。本文旨在综述 PCS 与糖尿病之间的关联及后果。
方法
我们在 PubMed 和 Google Scholar 上检索了所有关于“长新冠”、“新冠后综合征”和糖尿病的研究。
结果
PCS 的症状可能是由于器官功能障碍、住院和药物的影响，或者与这些无关。2 型糖尿病与 COVID-19 呈双向关系。糖尿病的存在还通过多种病理生理机制影响 PCS。COVID-19 可加重糖尿病患者的心动过速、肌肉减少症（和肌肉疲劳）以及微血管功能障碍（和器官损伤）。
结论
糖尿病患者的 PCS 可能会产生多种不利影响。严格控制糖尿病和其他合并症、进行监督康复和体育锻炼以及合理营养有助于减轻和管理 PCS。
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