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10.1016/j.lfs.2021.119371

http://scihub22266oqcxt.onion/10.1016/j.lfs.2021.119371
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suck abstract from ncbi


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pmid33745895      Life+Sci 2021 ; 275 (ä): 119371
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  • Effects of metformin, insulin on COVID-19 patients with pre-existed type 2 diabetes: A multicentral retrospective study #MMPMID33745895
  • Cheng X; Xin S; Chen Y; Li L; Chen W; Li W; Zhou B; Li C; Gong Y; Li F; Duan P; Zhou X
  • Life Sci 2021[Jun]; 275 (ä): 119371 PMID33745895show ga
  • AIMS: Type 2 diabetes is considered to be one of the essential risks of adverse outcomes in coronavirus disease 2019 (COVID-19).(1) Metformin and insulin were suggested to affect the outcomes. However, divergent views are still expressed. We aim to gain further insight into metformin and insulin in both pre-admission and in-hospital usage in COVID-19 patients with pre-existed type 2 diabetes. MAIN METHODS: This is a multicentral retrospective study of the hospital confirmed COVID-19 patients between January 19 to April 09, 2020, who admitted to 3 main hospitals in Xiangyang city, China. The effect of type 2 diabetes, metformin, and insulin on COVID-19 were analyzed, respectively. Clinical characteristics, blood laboratory indices, clinical observational indices, and outcomes of these cases were collected. KEY FINDINGS: A total of 407 confirmed COVID-19 patients (including 50 pre-existed type 2 diabetes) were eligible in our study. COVID-19 patients with type 2 diabetes had more adverse outcomes than non-diabetes (OR(2): mortality: 1.46 [95% CI(3) 1.11, 1.93]; P < 0.001). Pre-admission metformin usage showed a declined intensive care unit admission rate in a dose-dependent fashion (OR 0.04 [95% CI 0.00, 0.99]; adjust P = 0.049). While in-hospital insulin usage attempted to increase the invasive ventilation (8 [34.8%] vs. 1 [3.7%], adjust P = 0.043), independent of age and blood glucose. SIGNIFICANCE: Our study indicated that pre-admitted metformin usage may have beneficial effects on COVID-19 with pre-existed type 2 diabetes, insulin should be used sparingly in the hospital stay.
  • |Adult[MESH]
  • |Blood Glucose[MESH]
  • |COVID-19/*complications/transmission/virology[MESH]
  • |China/epidemiology[MESH]
  • |Diabetes Mellitus, Type 2/*drug therapy/epidemiology/virology[MESH]
  • |Female[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Hypoglycemic Agents/*therapeutic use[MESH]
  • |Insulin/*therapeutic use[MESH]
  • |Intensive Care Units/*statistics & numerical data[MESH]
  • |Male[MESH]
  • |Metformin/*therapeutic use[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]


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