Author: Govender, Nalini; Khaliq, Olive P.; Moodley, Jagidesa; Naicker, Thajasvarie
Title: Insulin resistance in COVID-19 and diabetes Cord-id: t9604k86 Document date: 2021_4_8
ID: t9604k86
Snippet: BACKGROUND: The epidemiology of COVID-19 and its association with cardiometabolic disorders is poorly understood. This is a narrative review that investigates the effects of COVID-19 infection on insulin resistance in patients with diabetes. METHODS: An online search of all published literature was done via PubMed and Google Scholar using the MeSH terms “COVID-19,†“SARS-CoV-2,†“coronavirus,†“insulin resistance,†and “diabetes.†Only articles that were directly applicable t
Document: BACKGROUND: The epidemiology of COVID-19 and its association with cardiometabolic disorders is poorly understood. This is a narrative review that investigates the effects of COVID-19 infection on insulin resistance in patients with diabetes. METHODS: An online search of all published literature was done via PubMed and Google Scholar using the MeSH terms “COVID-19,†“SARS-CoV-2,†“coronavirus,†“insulin resistance,†and “diabetes.†Only articles that were directly applicable to insulin resistance in COVID-19 and diabetes was reviewed. RESULTS: Current data shows an increased risk of mortality in patients with diabetes and COVID-19 compared to those without diabetes. COVID-19 triggers insulin resistance in patients, causing chronic metabolic disorders that were non-existent prior to infection. CONCLUSION: Patients with diabetes are more susceptible to COVID-19 infection than those without diabetes. ACE2 expression decreases with infection, exaggerating Ang II activity with subsequent insulin resistance development, an exaggerated immune response and severe SARS-COV-2 infection.
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