Author/Authors :
Malek, Mojtaba Research Center for Prevention of Cardiovascular Disease - Institute of Endocrinology & Metabolism - Iran University of Medical Sciences - Tehran - Iran , Hosseinpanah, Farhad Obesity Research Center - Research Institute for Endocrine Sciences - Shahid Beheshti University of Medical Sciences - Tehran - Iran , Aghaei Meybodi, Hamid Reza Endocrinology and Metabolism Research Institute (EMRI) Tehran University of Medical Sciences (TUMS) - Tehran - Iran , Jahed, Adel Gabric Diabetes Education Association - Tehran - Iran , Hadaegh, Farzad Prevention of Metabolic Disorders Research Center - Research Institute for Endocrine Sciences - Shahid Beheshti University of Medical Sciences - Tehran - Iran , Sharghi, Sasan Endocrinology and Metabolism Research Institute (EMRI) Tehran University of Medical Sciences (TUMS) - Tehran - Iran , Esteghamati, Alireza Endocrine Research Center - Valiasr Hospital - Tehran University of Medical Sciences - Tehran - Iran , Khamseh, Mohammad E. Endocrine Research Center - Institute of Endocrinology and Metabolism - Iran University of Medical Sciences (IUMS) - Tehran - Iran
Abstract :
The coronavirus infection is an evolving pandemic with high morbidity and mortality, especially in people with comorbidities. The case fatality rate (CFR) is 9.2% in the presence of diabetes, while it is 1.4% in those without any comorbidity. Diabetes is a prevalent disease globally; hence, healthcare professionals are highly concerned about severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic progression. Current evidence does not support higher incidence of coronavirus disease 2019 (COVID-19) in people with diabetes (PWD). However, people with diabetes are considered high risk for developing complications. Optimal metabolic control is a challenging concept, especially in the presence of an acute and severe respiratory viral infection. In this consensus, we considered the challenging issues in management of patients with diabetes during the COVID-19 pandemic. The consensus covers various aspects of outpatient as well as inpatient care based on the current evidence.
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