Endocrine Abstracts

Background: Old age is proven to be one of the greatest danger factors for intensively dealing with COVID-19 patients. Stoutness and diabetes are enhancers of dangers among COVID-19 patients. In any case, there exists restricted proof for the modifiable danger components, for example, bodyweight which is an indicator of the Intensive Care Unit and its need among type 2 diabetes patients. In this review, the subject of body weight as an indicator of ICU confirmations will be investigated.

Methods: A total of 127 Type 2 DM patients were selected. These patients had recovered from COVID-19, on follow up for diabetes care, from eight diabetes clinics that had the association of the metabolic risk factors with the need for intensive care. Descriptive statistics and Fisher’s exact test were performed.

Results: 100 hypertensives and 104 patients had recovered without intensive care. The mean age was 6 (±14, minimum 11, maximum 94, range 83, 95% CI 55 to 58), BMI (kg/m²) was 27 (±4.7, minimum 17, maximum 44, range 83, 95% CI 27 to 28), and HbA1c (%) was 8.1 (±1.6, minimum 4.8, maximum 15, range 10, 95% CI 7.9 to 8.4). 10 patients at follow-up, for diabetes consultation, post COVID-19 had good glycaemic control with less than 7% of HbA1c. 23 patients needed ICU care. The higher proportion with BMI ≤ 25, 27% required ICU as compared to 20% out of the 62 patients who had BMI < 25 kg/m2.

Conclusion: ICU admission risk had heightened for both the obese patients and the elderly patients among the Type-2 DM patients who were diagnosed with COVID-19. The findings of this study reveal that obesity needs to be managed for reducing the severity of COVID-19, bodyweight needs to be reduced to lessen the need for ICU care.