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Impact of blood glucose control on clinical outcomes in type 2 diabetes patients hospitalized with COVID-19 infection
Our study evaluates the interconnection between diabetes treatment in the community setting and diabetes treatment regimens in these patients during hospitalization.
Methods: The patients were divided into four groups according to blood glucose level during hospitalization. Group 1 included patients with an average blood glucose ≤140 mg/dl, Group 2 included patients with an average blood glucose level between 140 and 180 mg/dl, Group 3 included patients whose blood glucose level was between 180 and 250 mg/dl, and Group 4 included patients with average blood glucose >250 mg/dl. In all subjects, we assessed preadmission diabetes treatment and prior diagnoses of major comorbidities (atherosclerotic cardiovascular disease, congestive heart failure, chronic renal disease, chronic pulmonary diseases, and dementia.
Results: Significant predictors of mortality were the severity of COVID-19 (OR 62, CI 95%; 18–235, p <.000), acute renal failure (OR 3.2, CI 95% - 1.26–8.2; p =.015), and a diagnosis of congestive heart failure before hospitalization (OR 2.6; CI 95% 1.14–6.8; p =.024). Lower preadmission HbA1c levels, insulin treatment in the hospital, SGLT-2 treatment before, and absence of acute renal failure are significant predictors of good glycemic control during hospitalization. Conclusions: In patients with type 2 diabetes hospitalized with COVID-19, poor long-term glycemic control is associated with the level of hyperglycemia during hospitalization. © The Author(s) 2024.
Authors : Chertok Shacham E.; Maman N.; Ishay A.
Source : SAGE Publications Ltd
Article Information
| Year | 2024 |
| Type | Article |
| DOI | 10.1177/14791641241288390 |
| ISSN | 14791641 |
| Volume | 21 |
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