COVID-19 and diabetes: What do we know so far?

Author:

Gangadaran Prakash12ORCID,Padinjarathil Himabindu34,Rajendran Shri Hari Subhashri5,Jogalekar Manasi P6ORCID,Hong Chae Moon2,Aruchamy Baladhandapani34,Rajendran Uma Maheswari7,Gurunagarajan Sridharan8,Krishnan Anand9,Ramani Prasanna34ORCID,Subramanian Kavimani5

Affiliation:

1. BK21 FOUR KNU Convergence Educational Program of Biomedical Sciences for Creative Future Talents, Department of Biomedical Science, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea

2. Department of Nuclear Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu 41944, Republic of Korea

3. Dhanvanthri Lab, Department of Sciences, Amrita School of Physical Sciences, Amrita Vishwa Vidyapeetham, Coimbatore 641112, India

4. Center of Excellence in Advanced Materials & Green Technologies (CoE-AMGT), Amrita School of Engineering, Amrita Vishwa Vidyapeetham, Coimbatore 641112, India

5. Department of Pharmacology, College of Pharmacy, Mother Theresa Postgraduate and Research Institute of Health Sciences, Puducherry 605006, India

6. Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA 94158, USA

7. ICMR-Vector Control Research Centre, Puducherry 605006, India

8. Department of Biochemistry, Srimad Andavan Arts and Science College, Bharathidasan University, Trichy 620005, India

9. Department of Chemical Pathology, School of Pathology, Faculty of Health Sciences, University of the Free State, Bloemfontein 9300, South Africa

Abstract

Coronavirus disease 2019 (COVID-19) management has been challenging for patients with comorbidities. Patients with diabetes and COVID-19, in particular, have shown severe symptoms and rapid progression of the disease. They also have a high mortality rate compared to the non-diabetic population. The high mortality rate is caused in people with diabetes who are in a pro-inflammatory condition; this could worsen COVID-19. In addition, people with diabetes have circulatory issues and COVID-19 infection can lead to further clotting problems. It is critical to understand the mechanisms underlying the adverse clinical outcomes in patients with diabetes and COVID-19. This review discusses various disease conditions contributing to poor prognosis in diabetic COVID-19 patients such as hyperglycemia, insulin resistance, impaired pancreatic function, and production of advanced glycation end products.

Publisher

SAGE Publications

Subject

General Biochemistry, Genetics and Molecular Biology

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