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10.1097/MD.0000000000020844

http://scihub22266oqcxt.onion/10.1097/MD.0000000000020844
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32590779!7328947!32590779
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suck abstract from ncbi


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pmid32590779      Medicine+(Baltimore) 2020 ; 99 (26): e20844
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  • Successful blood glucose management of a severe COVID-19 patient with diabetes: A case report #MMPMID32590779
  • Hu R; Gao H; Huang D; Jiang D; Chen F; Fu B; Yuan X; Li J; Jiang Z
  • Medicine (Baltimore) 2020[Jun]; 99 (26): e20844 PMID32590779show ga
  • RATIONALE: Coronavirus disease 2019 (COVID-19) has emerged as a rapidly spreading communicable disease affecting individuals worldwide. Patients with diabetes are more vulnerable to the disease, and the mortality is higher than in those without diabetes. We reported a severe COVID-19 patient with diabetes and shared our experience with blood glucose management. PATIENT CONCERNS: A 64-year-old female diabetes patient was admitted to the intensive care unit due to productive coughing for 8 days without any obvious cause. The results of blood gas analysis indicated that the partial pressure of oxygen was 84 mm Hg with oxygen 8 L/min, and the oxygenation index was less than 200 mm Hg. In addition, postprandial blood glucose levels were abnormal (29.9 mmol/L). DIAGNOSES: The patient was diagnosed with COVID-19 (severe type) and type 2 diabetes. INTERVENTIONS: Comprehensive interventions including establishing a multidisciplinary team, closely monitoring her blood glucose level, an individualized diabetes diet, early activities, psychological care, etc, were performed to control blood glucose while actively treating COVID-19 infection. OUTCOMES: After the comprehensive measures, the patient's blood glucose level gradually became stable, and the patient was discharged after 20 days of hospitalization. LESSONS: This case indicated that the comprehensive measures performed by a multidisciplinary team achieved good treatment effects on a COVID-19 patient with diabetes. Targeted treatment and nursing methods should be performed based on patients' actual situations in clinical practice.
  • |Blood Glucose/*drug effects[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/blood/*complications/psychology/therapy[MESH]
  • |Diabetes Complications/blood/psychology/therapy/*virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Hypoglycemic Agents/*administration & dosage[MESH]
  • |Insulin/*administration & dosage[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]


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