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  1. Artikel: COVID-19 and Diabetes.

    Bellido, Virginia / Pérez, Antonio

    Journal of clinical medicine

    2021  Band 10, Heft 22

    Abstract: Diabetes mellitus (DM) is one of the most common comorbid conditions in persons with COVID-19 and a risk factor for poor prognosis. The reasons why COVID-19 is more severe in persons with DM are currently unknown although the scarce data available on ... ...

    Abstract Diabetes mellitus (DM) is one of the most common comorbid conditions in persons with COVID-19 and a risk factor for poor prognosis. The reasons why COVID-19 is more severe in persons with DM are currently unknown although the scarce data available on patients with DM hospitalized because of COVID-19 show that glycemic control is inadequate. The fact that patients with COVID-19 are usually cared for by health professionals with limited experience in the management of diabetes and the need to prevent exposure to the virus may also be obstacles to glycemic control in patients with COVID-19. Effective clinical care should consider various aspects, including screening for the disease in at-risk persons, education, and monitoring of control and complications. We examine the effect of COVID-19 on DM in terms of glycemic control and the restrictions arising from the pandemic and assess management of diabetes and drug therapy in various scenarios, taking into account factors such as physical exercise, diet, blood glucose monitoring, and pharmacological treatment. Specific attention is given to patients who have been admitted to hospital and critically ill patients. Finally, we consider the role of telemedicine in the management of DM patients with COVID-19 during the pandemic and in the future.
    Sprache Englisch
    Erscheinungsdatum 2021-11-16
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm10225341
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: Accuracy and Potential Interferences of Continuous Glucose Monitoring Sensors in the Hospital.

    Bellido, Virginia / Freckman, Guido / Pérez, Antonio / Galindo, Rodolfo J

    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

    2023  Band 29, Heft 11, Seite(n) 919–927

    Abstract: For years, the standard of care for monitoring dysglycemia in hospitalized patients was capillary blood glucose (CBG) testing with point-of-care glucose meters. Recently, there has been a revolution in novel factory-calibrated continuous glucose ... ...

    Abstract For years, the standard of care for monitoring dysglycemia in hospitalized patients was capillary blood glucose (CBG) testing with point-of-care glucose meters. Recently, there has been a revolution in novel factory-calibrated continuous glucose monitoring (CGM) systems. Newer CGMs are smaller and less expensive, have improved accuracy and longer wear time, and do not require fingerstick CBG for calibration, resulting in increased utilization in ambulatory settings. Consequently, hospitals have noticed increased usability of CGMs among hospitalized patients and expect a progressive continued increase. During the COVID-19 pandemic, there was a critical need for innovative approaches to glycemic monitoring, with several pilot implementation projects using CGM in the intensive care unit and non-intensive care unit settings, further boosting the evidence in this area. Hence, recent guidelines have provided recommendations for the use of CGM in specific hospital scenarios and highlighted the potential of CGM to overcome CBG limitations for glucose monitoring in the inpatient setting. In this review, we provide the following: 1) an up-to-date review of the accuracy of the newer CGMs in hospitalized patients, 2) a discussion of standards for CGM accuracy metrics, 3) a contemporary overview of potential interferences that may cause inaccuracies or poor CGM performance, and 4) required steps for full regulatory approval of CGMs in the hospital and future research steps to advance the field forward.
    Mesh-Begriff(e) Humans ; Blood Glucose ; Blood Glucose Self-Monitoring/methods ; Pandemics ; Hospitals ; Glucose
    Chemische Substanzen Blood Glucose ; Glucose (IY9XDZ35W2)
    Sprache Englisch
    Erscheinungsdatum 2023-06-25
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Review
    ZDB-ID 1473503-9
    ISSN 1530-891X
    ISSN 1530-891X
    DOI 10.1016/j.eprac.2023.06.007
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: Inpatient Hyperglycemia Management and COVID-19.

    Bellido, Virginia / Pérez, Antonio

    Diabetes therapy : research, treatment and education of diabetes and related disorders

    2020  Band 12, Heft 1, Seite(n) 121–132

    Abstract: Diabetes is one of the most common comorbidities in hospitalized patients with coronavirus disease 2019 (COVID-19). Inpatient hyperglycemia during this pandemic has been associated with worse outcomes, so it is mandatory to implement effective glycemic ... ...

    Abstract Diabetes is one of the most common comorbidities in hospitalized patients with coronavirus disease 2019 (COVID-19). Inpatient hyperglycemia during this pandemic has been associated with worse outcomes, so it is mandatory to implement effective glycemic control treatment approaches for inpatients with COVID-19. The shortage of personal protective equipment, the need to prevent staff exposure, or the fact that many of the healthcare professionals might be relatively unfamiliar with the management of hyperglycemia may lead to worse glycemic control and, consequently, a worse prognosis. In order to reduce these barriers, we intend to adapt established recommendations to manage hyperglycemia during this pandemic in critical and noncritical care settings.
    Sprache Englisch
    Erscheinungsdatum 2020-12-05
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2566702-6
    ISSN 1869-6961 ; 1869-6953
    ISSN (online) 1869-6961
    ISSN 1869-6953
    DOI 10.1007/s13300-020-00966-z
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Consequences of COVID-19 on people with diabetes.

    Bellido, Virginia / Pérez, Antonio

    Endocrinologia, diabetes y nutricion

    2020  Band 67, Heft 6, Seite(n) 355–356

    Titelübersetzung Consecuencias de la COVID-19 sobre las personas con diabetes.
    Mesh-Begriff(e) Antimalarials/therapeutic use ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/epidemiology ; Diabetes Complications/complications ; Diabetes Complications/drug therapy ; Health Services Accessibility ; Hospitalization ; Humans ; Hydroxychloroquine/therapeutic use ; Hyperglycemia/complications ; Hyperglycemia/drug therapy ; Hypoglycemic Agents/therapeutic use ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/epidemiology ; Prognosis ; Risk ; SARS-CoV-2
    Chemische Substanzen Antimalarials ; Hypoglycemic Agents ; Hydroxychloroquine (4QWG6N8QKH)
    Schlagwörter covid19
    Sprache Spanisch
    Erscheinungsdatum 2020-05-11
    Erscheinungsland Spain
    Dokumenttyp Journal Article
    ISSN 2530-0180
    ISSN (online) 2530-0180
    DOI 10.1016/j.endinu.2020.04.001
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: Consecuencias de la COVID-19 sobre las personas con diabetes./ Consecuencias de la COVID-19 sobre las personas con diabetes./ Consequences of COVID-19 on people with diabetes

    Bellido, Virginia / Pérez, Antonio

    Endocrinol Diabetes Nutr

    Schlagwörter covid19
    Verlag WHO
    Dokumenttyp Artikel
    Anmerkung WHO #Covidence: #32475769
    Datenquelle COVID19

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  6. Artikel ; Online: Consecuencias de la COVID-19 sobre las personas con diabetes

    Bellido, Virginia / Pérez Pérez, Antonio

    2020  

    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsland es
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  7. Artikel ; Online: Consecuencias de la COVID-19 sobre las personas con diabetes

    Bellido, Virginia / Pérez, Antonio

    Endocrinología, Diabetes y Nutrición

    2020  Band 67, Heft 6, Seite(n) 355–356

    Schlagwörter covid19
    Sprache Spanisch
    Verlag Elsevier BV
    Erscheinungsland us
    Dokumenttyp Artikel ; Online
    ZDB-ID 2887277-0
    ISSN 2530-0172 ; 2530-0164
    ISSN (online) 2530-0172
    ISSN 2530-0164
    DOI 10.1016/j.endinu.2020.04.001
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  8. Artikel ; Online: Consequences of COVID-19 on people with diabetes

    Bellido, Virginia / Pérez, Antonio

    Endocrinología, Diabetes y Nutrición (English ed.)

    2020  Band 67, Heft 6, Seite(n) 355–356

    Schlagwörter covid19
    Sprache Englisch
    Verlag Elsevier BV
    Erscheinungsland us
    Dokumenttyp Artikel ; Online
    ISSN 2530-0180
    DOI 10.1016/j.endien.2020.04.008
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  9. Artikel ; Online: Impact of COVID-19 lockdown on glycemic control in patients with type 1 diabetes.

    Fernández, Elsa / Cortazar, Alicia / Bellido, Virginia

    Diabetes research and clinical practice

    2020  Band 166, Seite(n) 108348

    Abstract: Introduction: The COVID-19 pandemic has forced governments to take exceptional measures to minimize its spread, imposing lockdown policies. The aim of this study was to evaluate the impact of lockdown on type 1 diabetes (T1D) glycemic control.: ... ...

    Abstract Introduction: The COVID-19 pandemic has forced governments to take exceptional measures to minimize its spread, imposing lockdown policies. The aim of this study was to evaluate the impact of lockdown on type 1 diabetes (T1D) glycemic control.
    Material and methods: People with T1D using flash glucose monitoring were included. Data from the 14 days before lockdown were compared with data from the last 14 days after 8 weeks of lockdown.
    Results: A total of 307 patients were included (age 45.8 ± 12.6 years, 50.2% male, diabetes duration 21.1 ± 12.3 years). Only one patient had COVID-19 infection. Mean glucose decreased from 166.89 ± 29.4 to 158.0 ± 29.0 mg/dL and estimated HbA1c declined from 7.4 ± 1.0 to 7.1 ± 1.0% (54 ± 10.9 vs 57 ± 10.9 mmol/mol; p < 0.001). Time in range increased from 57.8 ± 15.8 to 62.46 ± 16.1%. Time in hyperglycemia > 180 mg/dL and >250 mg/dL decreased from 37.3 ± 1.9% to 32.0 ± 17.1% and from 13.0 ± 11.3 to 10.3 ± 10.6%, respectively; (p < 0.001). Time in hypoglycaemia <70 mg/dL increased from 4.9 ± 4.0% to 5.5 ± 4.4% (p < 0.001). No differences in time <54 mg/dl, coefficient of variation (CV%) or number of scans per day were found.
    Conclusion: Despite the limitations of lockdown, glycemic control improved in patients with T1D. These results suggest that having more time for self-management may help improve glycemic control in the short term.
    Mesh-Begriff(e) Betacoronavirus/isolation & purification ; Blood Glucose Self-Monitoring/methods ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/virology ; Diabetes Mellitus, Type 1/drug therapy ; Diabetes Mellitus, Type 1/physiopathology ; Diabetes Mellitus, Type 1/virology ; Female ; Glycated Hemoglobin A/analysis ; Humans ; Hyperglycemia/prevention & control ; Hypoglycemia/prevention & control ; Hypoglycemic Agents/therapeutic use ; Insulin/therapeutic use ; Male ; Middle Aged ; Pandemics/prevention & control ; Pneumonia, Viral/complications ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/virology ; Prognosis ; Quarantine/methods ; SARS-CoV-2 ; Spain/epidemiology
    Chemische Substanzen Glycated Hemoglobin A ; Hypoglycemic Agents ; Insulin
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-07-22
    Erscheinungsland Ireland
    Dokumenttyp Journal Article
    ZDB-ID 632523-3
    ISSN 1872-8227 ; 0168-8227
    ISSN (online) 1872-8227
    ISSN 0168-8227
    DOI 10.1016/j.diabres.2020.108348
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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