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العنوان
Impact evaluation of diabetes mellitus in postcovid patients in Minia university hospitals /
المؤلف
Mohamed, Eslam Gamal.
هيئة الاعداد
باحث / إسلام جمال محمد
مشرف / هشام عبد الحليم علي
مشرف / أشرف محمد عثمان
مشرف / هشام مصطفي توفيق
الموضوع
Diabetes - Diagnosis.
تاريخ النشر
2023.
عدد الصفحات
95 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
تاريخ الإجازة
22/2/2023
مكان الإجازة
جامعة المنيا - كلية الطب - الباطنة العامة
الفهرس
Only 14 pages are availabe for public view

from 96

from 96

Abstract

May 2021–May 2022 is the time window for this retrospective study. These studies included individuals who contracted a novel coronavirus in 2019. In this research, 300 patients with confirmed SARS-Cov-2 infection were enrolled from the hospital’s chest and family medicine wards, with a follow-up period of two months in the hospital’s outpatient.
There were a total of 210 people (110 male and 190 female) that took part in the study.
COVID patients were divided into two groups.
There were 65 people with a confirmed diabetes diagnosis in group 1.
In the second group, made comprised of persons who had not been diagnosed with diabetes, there were 235 participants.
Patients were deemed to have be it known diabetes or hypoglycaemia if their fasting glucose level was between 100 but instead 125 micrograms (5.6 and 6.9 mcg) and/or their haemoglobin A1c level was between 5.7% and 6.4%; patients of skipping breakfast blood glucose above 126 ppm (7 mmol/L) and/or their haemoglobin A1c level was below 6.5% were defined as having patients diagnosed diabetes.
Both routine and nonroutine diagnostic tests, as well as the collection of a medical history, were performed on them.
Results and Reflections
The COVID-19 positive population exhibited this quality. If you currently have diabetes, a SARS-CoV-2 infection may make your condition worse, and it may also raise your chance of developing diabetes. SARS-CoV-2 pancreatic β - cell invasion also leads to type 1 diabetes and a worsening of COVID-19.
Moreover, in comparison to those with preexisting diabetes, entrance hyperglycemia nor patients diagnosed diabetes were more significantly linked with COVID-19 severity outcomes.

Right here, in the study. Patients hospitalised to the critical care unit (Ihs) had severe COVID-19 were far more likely to develop diabetes. Hospital stays for patients with diabetes may be lengthened by complications from the condition, such as cardiovascular disease, lung sickness, cancer, or other chronic illnesses such chronic kidney disease. In addition, we found that those who had NDDM had to have a greater abundance of proinflammatory cytokines than individuals without the illness. It was also evident that those with a recent diabetes diagnosis had an especially significant risk of complications.
Scleroderma-associated respiratory syndrome coronavirus type 2 (SARS-CoV-2) may aggravate diabetes by damaging the pancreas. In addition to inflammatory and cytokine storm (CS), which is characterised by a substantial increase in the amount of interleukin (IL)-6, COVID-19 induces peripheral insulin resistance (IR) Pancreatic -cells are also harmed by the elevated amounts of cytokines such tumor necrosis factor alpha и il-6 (IL-6).
Acute pancreatitis induced by COVID-19 infections may produce symptoms like stomach pain that may linger long after the infection has stopped. According to the available data, hyperlipemia is rather prevalent among Covid-19 patients.
Pancreatic enzyme levels were found to be higher in COVID19-infected patients, and this rise correlated with the disease’s severity.
Researchers have shown a correlation between COVID-19 infections and higher granule and lipase levels within the blood, which are both indicators of pancreatic damage. But there is evidence that SARS-CoV-2 may cause clinical pancreatitis.