Management of patients with diabetes and obesity in the COVID-19 era: Experiences and learnings from South and East Europe, the Middle East, and Africa

被引:24
作者
Giorgino, Francesco [1 ]
Bhana, Sindeep [2 ]
Czupryniak, Leszek [3 ]
Dagdelen, Selcuk [4 ]
Galstyan, Gagik R. [5 ]
Janez, Andrej [6 ]
Lalic, Nebojsa [7 ]
Nouri, Nassim [8 ]
Rahelic, Dario [9 ,10 ,11 ]
Stoian, Anca Pantea [12 ]
Raz, Itamar [13 ]
机构
[1] Univ Bari Aldo Moro, Dept Emergency & Organ Transplantat, Bari, Italy
[2] Chris Hani Baragwanath Hosp, Dept Diabet Endocrine & Metab, Internal Med, Johannesburg, South Africa
[3] Med Univ Warsaw, Diabetol & Internal Med Dept, Warsaw, Poland
[4] Hacettepe Univ, Sch Med, Dept Endocrinol & Metab, Ankara, Turkey
[5] Minist Hlth Russian Federat, Fed State Budgetary Inst, Diabet Foot Dept, Natl Med Res Ctr Endocrinol, St Petersburg, Russia
[6] Univ Med Ctr Ljubljana, Dept Endocrinol Diabet & Metab Dis, Ljubljana, Slovenia
[7] Univ Belgrade, Fac Med, Clin Endocrinol Diabet & Metab Dis, Dr Subotica 8, Belgrade 11000, Serbia
[8] Univ Constantine 3, Metab Dis Res Lab, El Khroub, Algeria
[9] Merkur Univ Hosp, Vuk Vrhovac Univ Clin Diabet Endocrinol & Metab D, Zagreb, Croatia
[10] Univ Zagreb, Sch Med, Zagreb, Croatia
[11] Josip Juraj Strossmayer Univ Osijek, Sch Med, Osijek, Croatia
[12] Univ Med & Pharm Carol Davila, Bucharest, Romania
[13] Hadassah Hebrew Univ Hosp, Jerusalem, Israel
关键词
Diabetes; Obesity; COVID-19; Pandemic; Management; Consensus;
D O I
10.1016/j.diabres.2020.108617
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The COVID-19 pandemic has had a major effect on healthcare during 2020. Current evidence suggests that, while individuals with diabetes and obesity are no more prone to SARS-CoV-2 infection than those without, the risk of hospitalisation if someone has diabetes or obesity and then contracts COVID-19 is three times higher-and 4.5 times higher if they have diabetes and obesity. We assembled a panel of experts from South and East Europe, the Middle East, and Africa to discuss the challenges to management of diabetes and obesity during and post the COVID-19 pandemic. The experience and learnings of this panel cover a heterogeneous patient population, wide range of clinical settings, healthcare organisations, disease management strategies, and social factors. We discuss the importance of timely and effective disease management via telemedicine, providing reassurance and guidance for patients unable or unwilling to visit healthcare settings at this time. We address the use of novel therapies and their role in managing diabetes and obesity during the pandemic, as well as the importance of controlling hypoglycaemia and preventing car-diovascular complications, particularly in vulnerable people. Finally, we consider post-COVID-19 management of diabetes and obesity, and how these learnings and experiences should impact upon future clinical guidelines. (C)2020 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
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页数:10
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