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A Critical Review on the Long-Term COVID-19 Impacts on Patients With Diabetes - 27/04/24

Doi : 10.1016/j.amjmed.2024.02.029 
Sumel Ashique, M.Pharm a, Neeraj Mishra, PhD b, Ashish Garg, PhD c, Sweta Garg, PhD d, Arshad Farid, PhD e, Shweta Rai, M.Pharm f, Gaurav Gupta, PhD g, Kamal Dua, PhD h, i, Keshav Raj Paudel, PhD j, Farzad Taghizadeh-Hesary, MD k,
a Department of Pharmaceutical Sciences, Bengal College of Pharmaceutical Sciences & Research, Durgapur, West Bengal, India 
b Amity Institute of Pharmacy, Amity University Madhya Pradesh (AUMP), Gwalior, Madhya Pradesh, India 
c Drug Delivery and Nanotechnology Laboratories, Department of Pharmaceutics, Guru Ramdas Khalsa Institute of Science and Technology (Pharmacy), Kukrikheda, Barela, Jabalpur, Madhya Pradesh, India 
d Guru Ramdas Khalsa Institute of Science and Technology, Pharmacy, Jabalpur, Madhya Pradesh, India 
e Gomal Center of Biochemistry and Biotechnology, Gomal University, Dera Ismail Khan, Pakistan 
f Department of Pharmaceutics, ISF College of Pharmacy, Moga, Punjab, India 
g School of Pharmacy, Suresh Gyan Vihar University, Gyan Vihar Marg, Jagatpura, Jaipur, Rajasthan 302017, India 
h Faculty of Health, Australian Research Centre in Complementary and Integrative Medicine, University of Technology Sydney, Ultimo, NSW, Australia 
i Discipline of Pharmacy, Graduate School of Health, University of Technology Sydney, NSW, Australia 
j Centre for Inflammation, Centenary Institute and University of Technology Sydney, Faculty of Science, School of Life Sciences, Sydney, NSW, Australia 
k ENT and Head and Neck Research Center, The Five Senses Health Institute, School of Medicine, Iran University of Medical Sciences, Tehran, Iran 

Requests for reprints should be addressed to Farzad Taghizadeh-Hesary, MD, ENT and Head and Neck Research Center, The Five Senses Health Institute, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ENT and Head and Neck Research Center, The Five Senses Health InstituteSchool of Medicine, Iran University of Medical SciencesTehranIran

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Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Saturday 27 April 2024

Abstract

Background

The world is currently grappling with the potentially life-threatening coronavirus disease 2019 (COVID-19), marking it as the most severe health crisis in the modern era. COVID-19 has led to a pandemic, with the World Health Organization (WHO) predicting that individuals with diabetes are at a higher risk of contracting the virus compared to the general population. This review aims to provide a practical summary of the long-term impacts of COVID-19 on patients with diabetes. Specifically, it focuses on the effects of SARS-CoV-2 on different types of diabetic patients, the associated mortality rate, the underlying mechanisms, related complications, and the role of vitamin D and zinc in therapeutic and preventive approaches.

Methods

Relevant literature was identified through searches on PubMed, Web of Science, and Science Direct in English, up to April 2023.

Results

COVID-19 can lead to distressing symptoms and pose a significant challenge for individuals living with diabetes. Older individuals and those with pre-existing conditions such as diabetes, coronary illness, and asthma are more susceptible to COVID-19 infection. Managing COVID-19 in individuals with diabetes presents challenges, as it not only complicates the fight against the infection but also potentially prolongs the recovery time. Moreover, the virus may thrive in individuals with high blood glucose levels. Various therapeutic approaches, including antidiabetic drugs, are available to help prevent COVID-19 in diabetic patients.

Conclusions

Diabetes increases the morbidity and mortality risk for patients with COVID-19. Efforts are globally underway to explore therapeutic interventions aimed at reducing the impact of diabetes on COVID-19.

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Keywords : Long-term COVID-19, Diabetes mellitus, Morbidity, Mortality, Treatment

Abbreviation : ACE, ALI, AMPK, APC, ARB, ARDS, CAP, CFR, CI, CLP, COPD, COVID-19, COX-2, CQ, DCGI, DIC, DM, DPP-4, ERK1/2, EuDKA, FEV1, FVC, GLP-1, hCoV-EMC, HCQ, HR, HUVEC, IDF, IQR, LKB1, MERS-CoV, mTOR, OR, PAI-1, PPE, RAAS, RdRP, ROS, RR, SARS-CoV-2, SGLT-2, T1D, T2D, TMPRSS2, TNF, TZD, VDR


Plan


 Funding: No funds, grants, or other support was received.
 Conflicts of Interest: The authors declare no competing interest. Authors are primarily involved in education or medical research and not directly supported by the government.
 Authorship: SA: Writing – original draft, Supervision, Investigation, Conceptualization. NM: Writing – review & editing. AG: Writing – review & editing, Resources. SG: Writing – review & editing. AF: Writing – review & editing, Resources. SR: Writing – original draft, Resources, Investigation. GG: Writing – original draft, Resources, Investigation. KD: Writing – original draft, Resources, Investigation. KRP: Writing – review & editing, Resources, Investigation. FT-H: Writing – review & editing, Supervision.


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