Dockyard : Keep sugar levels in check

Dockyard : Keep sugar levels in check
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Patients who have Diabetes can have an increased risk of taking more time to heal and get a secondary infection. If they have any of the symptoms such as cough, high temperature and feeling short of breath, they need to monitor their blood sugar closely

One of the major complications in accurately detecting the novel coronavirus is the long and uncertain period of incubation which is around 14 days. This gives ample time for the infections to spread rapidly. Widespread availability of diagnostic facility being the need of the hour, it is also advised to the treating doctors and other medical assistance for protection as they are highly vulnerable even during a potential case look up.

While certain symptoms of coronavirus are similar to that of a common cold or viral infection, it is necessary to distinguish between the two. Though symptoms in most patients may vary from being asymptomatic to even being seriously ill and need immediate medical attention, the usual symptoms include — fever, cough and running nose accompanied by shortness of breath.

People need not panic in case of any of the symptoms. They should get tested for flu initially, and only in case of negative results, must undergo PCR throat swab culture, which is used to diagnose n-corona virus.

While the geriatric population may have other co-morbidities like asthma, wheezing or any other respiratory ailments, diabetes and hypertension along with a diminished immunity, makes them more vulnerable to infections. But this doesn’t make  them the only victims to the virus, but people of all age and gender are equally vulnerable.

As we age, our immune system also depletes gradually and likely for this reason any elderly catching coronavirus is more vulnerable to sail through the ill-effects of the virus. While the body’s fighting capacity would have reduced by this age, in addition to the existing co-morbidities, old people are more likely to die of corona virus

People with diabetes should be extra careful about their health. They should maintain good glycaemic control (blood sugar level which helps in reducing the risk of infection and also the severity of complications.

 In case a person with Diabetes gets Covid-19, the advisory suggests authorities should be notified immediately. Patients who have Diabetes can have an increased risk of taking more time to heal and get a secondary infection. In such a case people if people have any of the symptoms such as cough, high temperature and feeling short of breath, they need to monitor their blood sugar closely.

Here are a few tips how diabetics can prevent Covid-19.

  • Maintain good glycaemic control, which may help in reducing risk of infection and severity. It may also lessen chances of secondary bacterial pneumonia.
  • Pay attention to nutrition and have adequate protein. Any deficiency of minerals and vitamins should be addressed immediately.

If a Diabetic has Covid-19

  • Most can be treated at home. Water level should be maintained along with symptomatic treatment.
  • Patient with type-1 Diabetes should measure blood glucose and urinary ketone frequently in case of fever.
  • Hospitalised patients with severe infection should be given insulin to control hyperglycaemia in them.
    The writer is Dr Rakesh Chawla Senior Consultant, Respiratory Medicine Saroj Superspeciality Hospital, New Delhi
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