Recently, in the national news, they reported a young woman who died of Covid complications. The medical staff discovered she was a prediabetic. She was Caucasian, in her 20’s, BMI of around 29+. She had never been diagnosed with prediabetes, but she quickly developed severe complications from Covid. The medical staff indicated the complications were consistent with uncontrolled blood sugars.
Today in America, one out of ten adults are diagnosed with type 2 diabetes. The medical community rarely considers identifying prediabetes in twenty-year-olds.
Most medical providers do not diagnose the early stages of sugar problems. Adults can have prediabetes for 10 years or more before they are diagnosed with Type 2. During that time, their body works hard to adjust their blood’s homeostasis. If you have been diagnosed as a prediabetic, have a history of gestational diabetes, or are at risk for prediabetes due to your genetics, you are at risk for significant complications from Covid 19.
Covid 19 can cause a Cytokine-storm.
In 2020, 25% of hospitalized patients treated for Covid had severe complications. Could the increase in the need for intensive care be correlated to the obesity crisis and under-diagnosed sugar problems? Why are the patients with uncontrolled sugar problems at a higher risk for complications and slower recovery?
Being a diabetic also means you have a compromised immune system.
A side effect of severe Covid 19 is a Cytokine-storm which can quickly become life-threatening when not identified. It is caused by the breakdown of protein for energy. When people are sick, they often do not eat. When the body does not have adequate carbohydrates for energy, it will convert to breakdown proteins for energy. This produces a byproduct called ketones. These ketones can trigger a cytokine storm. The Covid virus induces a diabetic macrophage-mediated inflammation via SETDB2. This can cause body-wide sepsis (poisoning) that causes multiple organ failures. These patients need intensive nursing care and IV medications to prevent death.
Most type 2 diabetics do not have a glucometer that can measure ketone levels. Some type 1 diabetes has a glucometer that can measure ketones. Since type 1 can have low blood sugars from a miscalculation of insulin needs, they can have glucometers that measure ketones as well as blood sugars.
This is the reason many diabetes diagnosed with Covid need intensive care in the hospitals.
Prevention of Covid is important for all diabetics.
Vaccination is a personal choice but knowledge is power.
How many times have you heard patients in critical care say, ‘if I had known how bad it would get, I would have vaccinated.’ You can not imagine their hospital bills after spending time in intensive care. It changes their finances and their families’ lives forever.
Your understanding of the risks should be involved in your decisions.
If you have prediabetes, type 2 or type 1 diabetes, a history of gestational diabetes, or the genetics for diabetes, you need to be sure you are vaccinated and boosted for Covid 19.
It is predicted that Covid will become like the seasonal flu. It will continue to mutate and reappear for years. For adequate protection, you may need an annual booster shot.
Article with James Melvin MD why do people with diabetes develop severe Covid-19 He is the one overseeing the interferon therapy trials.