Diabetes and CoViD-19: Experience from the frontline of Internal Medicine wards in Italy

Diabetes Res Clin Pract. 2020 Sep:167:108335. doi: 10.1016/j.diabres.2020.108335. Epub 2020 Jul 18.

Abstract

Available data suggest that the issue of CoViD-19 is particularly critical in patients with diabetes. In Italy, Internal Medicine (IM) wards have played a pivotal role in contrasting the spread of SARS-Cov2. During this pandemic, FADOI submitted a brief questionnaire to a group of its members acting as Head of IM units. Considering 38 units, 58% of beds dedicated to CoViD patients in CoViD Hospitals were in charge of IM, and globally cared for 6650 patients during a six-week period. Of these patients, 1264 (19%) had diabetes. Mortality rate in CoViD patients with or without diabetes were 20.5% and 14%, respectively (p < 0.001). Our survey seems to confirm that diabetes is a major comorbidity of CoViD-19, but it does not support an increased incidence of CoViD-19 infection in people with diabetes, if compared with the figures of patients with diabetes and hospitalized before the outbreak. On the other side, patients with diabetes appeared at a significantly increased risk of worse outcome. This finding underlines the importance of paying special attention to this patient population and its management.

Keywords: CoViD-19; Mortality; Type 2 diabetes.

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Comorbidity
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / mortality*
  • Diabetes Mellitus / epidemiology
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Hospitals
  • Humans
  • Incidence
  • Internal Medicine
  • Italy / epidemiology
  • Pandemics
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / mortality*
  • Prognosis
  • SARS-CoV-2
  • Surveys and Questionnaires