{"id":445,"date":"2020-06-08T05:09:00","date_gmt":"2020-06-08T05:09:00","guid":{"rendered":"https:\/\/covidqanda.org\/?p=445"},"modified":"2020-11-09T05:13:05","modified_gmt":"2020-11-09T05:13:05","slug":"do-you-know-of-any-data-that-distinguishes-between-type-of-diabetes-and-mortality-risk","status":"publish","type":"post","link":"https:\/\/covidqanda.org\/?p=445","title":{"rendered":"Do you know of any data that distinguishes between type of diabetes and mortality risk?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\" id=\"f9ce\"><strong>Question:<\/strong>&nbsp;I have heard recently that people with diabetes are at especially higher risk of mortality with COVID. Do you know of anything that distinguishes between type of diabetes, BMI, age, general health?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"ba3a\"><strong>Answer:<\/strong>&nbsp;So far, we have&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7144611\/#b0325\">no evidence<\/a>&nbsp;that people with diabetes are more likely to contract SARS-CoV-2. That\u2019s good news. The bad news is that once someone with diabetes contracts COVID, their risks of severe outcomes so far appear much higher as compared with someone without diabetes. Preliminary&nbsp;<a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/mm6913e2.htm\">findings reported by CDC<\/a>&nbsp;align with&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32161990\/?from_term=diabetes+and+covid-19&amp;from_pos=6\">findings from China<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7270733\/\">Italy<\/a>&nbsp;in showing that people with diabetes are more likely to experience severe outcomes and even death from COVID. The mechanism by which people with diabetes become more susceptible to severe outcomes is still unknown and a recent&nbsp;<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/jch.13912\">review of available literature on diabetes and COVID-19 published&nbsp;<\/a>in the&nbsp;<em>Journal of Clinical Hypertension<\/em>&nbsp;highlights the many gaps in the current data and our understanding, concluding \u201cthe influence of diabetes on severity and outcome in COVID\u201019 patients is not clear because of large gap in evidence.\u201d Here, the authors cite the problem of unaccounted confounders \u2014 type of antidiabetic therapy used, other diabetes-associated conditions like obesity and age, how well diabetes is controlled, etc. More evidence is needed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"f572\">In this vein, the British National Health Service just released estimates of severe outcomes among patients hospitalized with COVID-19. These data, as reported by&nbsp;<a href=\"https:\/\/www.diabetes.org.uk\/about_us\/news\/coronavirus-statistics\">Diabetes UK<\/a>, show that \u201cPeople with type 1 diabetes were found to be 3.5 times more likely to die, and people with type 2 diabetes twice as likely to die, than people who don\u2019t have diabetes when in hospital with coronavirus.\u201d The&nbsp;<a href=\"https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2020\/05\/valabhji-COVID-19-and-Diabetes-Paper-1.pdf\">full NHS paper on diabetes and COVID-19 is here<\/a>. This paper also found that the presence of other factors \u2014 obesity, and age \u2014 further increased risk of death among people with diabetes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"adb6\">Finally, the&nbsp;<a href=\"https:\/\/www.diabetes.org\/covid-19-faq\">American Diabetes Association offers an FAQ<\/a>&nbsp;on diabetes and coronvirus that you may find helpful too.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Question:&nbsp;I have heard recently that people with diabetes are at especially higher risk of mortality with COVID. Do you know of anything that distinguishes between type of diabetes, BMI, age, general health? Answer:&nbsp;So far, we have&nbsp;no evidence&nbsp;that people with diabetes are more likely to contract SARS-CoV-2. That\u2019s good news. The bad news is that once [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":446,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[22,60],"tags":[127,86],"class_list":["post-445","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mortality","category-risk","tag-diabetes","tag-underlying-conditions","fallback-thumbnail"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/11\/pexels-photo-1001897.jpeg?fit=1880%2C1253&ssl=1","_links":{"self":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/445","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=445"}],"version-history":[{"count":1,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/445\/revisions"}],"predecessor-version":[{"id":447,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/445\/revisions\/447"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/media\/446"}],"wp:attachment":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=445"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=445"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=445"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}