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2019冠状病毒病疫苗对1型和2型糖尿病患者急性并发症发生情况的影响:沙特阿拉伯东部省份的一项横断面研究

The Impact of COVID-19 Vaccines on the Development of Acute Complications in Type 1 and 2 Diabetes Patients: A Cross-Sectional Study in the Eastern Province of Saudi Arabia.

作者信息

Alhawaj Sharook A, Almuhanna Alia Saeed, Alabbad Fatimah Saeed, Almomattin Hadeel Hisham, Alsultan Ragad S, Shaiban Zahra Abdulla, Vatte Chittibabu, Cyrus Cyril

机构信息

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

College of medicine, Department of Biochemistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Int J Gen Med. 2023 Sep 20;16:4267-4277. doi: 10.2147/IJGM.S431179. eCollection 2023.

DOI:10.2147/IJGM.S431179
PMID:37753440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10518259/
Abstract

BACKGROUND

COVID-19 vaccines were developed to control the pandemic spread as they have been proven to be efficient and safe. However, the likelihood of such postvaccination effects as poor glycemic control and adverse events has been noted in several studies.

OBJECTIVE

To determine the effect of COVID-19 vaccines on the glycemic control and the development of hyperglycemic emergencies among type 1 and 2 diabetes patients.

METHODS

A cross-sectional study was conducted on 409 participants aged 18 years and above with type 1 or 2 diabetes who had received at least a single dose of COVID-19 vaccine.

RESULTS

Among the 409 diabetes patients, a majority reported general mild postvaccination symptoms regardless of diabetes duration or type. After vaccination, severe diabetic emergencies were mostly reported in long-standing diabetes patients. Diabetes-related complications and emergencies were more profound among those who had received the Pfizer vaccine. Nonetheless, occurrence of adverse events could possibly be due to various factors, including the duration of diabetes and COVID-19 infection status.

CONCLUSION

COVID-19 vaccinations have the potential to influence diabetic patients in regard to acute glycemic complications. However, vaccine efficiency and benefits are superior to the side effects of COVID-19 vaccines, as these adverse events only affect a small number of individuals. A need for postvaccination monitoring of diabetes patients is suggested.

摘要

背景

新冠病毒病(COVID-19)疫苗已被证明有效且安全,其研发目的是控制疫情传播。然而,多项研究指出了接种疫苗后出现血糖控制不佳和不良事件等情况的可能性。

目的

确定COVID-19疫苗对1型和2型糖尿病患者血糖控制及高血糖急症发生情况的影响。

方法

对409名年龄在18岁及以上、患有1型或2型糖尿病且至少接种过一剂COVID-19疫苗的参与者进行了一项横断面研究。

结果

在409名糖尿病患者中,大多数人报告接种疫苗后出现一般的轻度症状,无论糖尿病病程或类型如何。接种疫苗后,严重糖尿病急症大多发生在病程较长的糖尿病患者中。在接种辉瑞疫苗的人群中,与糖尿病相关的并发症和急症更为严重。尽管如此,不良事件的发生可能归因于多种因素,包括糖尿病病程和COVID-19感染状况。

结论

COVID-19疫苗接种有可能在急性血糖并发症方面影响糖尿病患者。然而,疫苗的有效性和益处优于COVID-19疫苗的副作用,因为这些不良事件仅影响少数个体。建议对糖尿病患者进行接种后监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6a/10518259/ae32032e1414/IJGM-16-4267-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6a/10518259/ae32032e1414/IJGM-16-4267-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6a/10518259/ae32032e1414/IJGM-16-4267-g0001.jpg

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BMC Med. 2022 Nov 15;20(1):444. doi: 10.1186/s12916-022-02656-y.
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