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新冠病毒长期影响:糖尿病患者与非糖尿病患者的差异

Long-term effects of COVID-19 in diabetic and non-diabetic patients.

机构信息

Laboratorio de Dermatologia e Imunodeficiencias (LIM-56), Departamento de Dermatologia, Faculdade de Medicina FMUSP, Institute de Medicina Tropical da Universidade de Sáo Paulo, Sáo Paulo, Brazil.

出版信息

Front Public Health. 2022 Aug 15;10:963834. doi: 10.3389/fpubh.2022.963834. eCollection 2022.

DOI:10.3389/fpubh.2022.963834
PMID:36045733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9421360/
Abstract

The literature presents several reports of the impact of glycemic control and diabetes in the inflammatory and coagulatory response during coronavirus disease 2019 (COVID-19). Nevertheless, the long-term impact of the COVID-19 in diabetic patients is still to be explored. Therefore, we recruited 128 patients and performed a longitudinal analysis on COVID-19-associated biomarkers of patients with COVID-19, tree and 6 months after COVID-19 recovery and put into perspective the possible long-term complication generated after COVID-19. In our investigation, we failed to verify any long-term modification on inflammatory biomarkers, but detected an increase in the glycemia and glycated hemoglobin in patients without any pre-existing history or diagnosis of diabetes (non-diabetic patients). Although diabetic and non-diabetic patients presented elevated levels of glycated hemoglobin, the c-peptide test indicated a normal beta cell function in all patients.

摘要

文献报道了血糖控制和糖尿病对 2019 冠状病毒病(COVID-19)期间炎症和凝血反应的影响。然而,COVID-19 对糖尿病患者的长期影响仍有待探索。因此,我们招募了 128 名患者,对 COVID-19 患者的 COVID-19 相关生物标志物进行了纵向分析,在 COVID-19 康复后 3 个月和 6 个月,并从可能产生的 COVID-19 后长期并发症的角度进行了分析。在我们的研究中,我们未能证实炎症生物标志物有任何长期变化,但在没有任何既往糖尿病史或诊断的患者中发现血糖和糖化血红蛋白升高(非糖尿病患者)。尽管糖尿病和非糖尿病患者的糖化血红蛋白水平升高,但 C 肽试验表明所有患者的β细胞功能正常。

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Diabetes and COVID-19: Role of insulin resistance as a risk factor for COVID-19 severity.糖尿病与2019冠状病毒病:胰岛素抵抗作为2019冠状病毒病严重程度风险因素的作用。
World J Diabetes. 2021 Sep 15;12(9):1550-1562. doi: 10.4239/wjd.v12.i9.1550.
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COVID-19, Hyperglycemia, and New-Onset Diabetes.
新冠疫情期间新诊断为 2 型糖尿病的青少年中的糖尿病酮症酸中毒和长期胰岛素需求。
Endocr Pract. 2023 Oct;29(10):754-761. doi: 10.1016/j.eprac.2023.07.002. Epub 2023 Jul 13.
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Risk of severe COVID-19 infection in persons with diabetes during the first and second waves in Denmark: A nationwide cohort study.丹麦第一波和第二波疫情期间糖尿病患者感染严重 COVID-19 的风险:一项全国性队列研究。
Front Endocrinol (Lausanne). 2022 Oct 11;13:1025699. doi: 10.3389/fendo.2022.1025699. eCollection 2022.
新型冠状病毒肺炎、高血糖和新发糖尿病。
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