Complicaciones en pacientes diabéticos con covid-19

Abstract

Introduction: During the COVID-19 pandemic, the diabetic population has been considered vulnerable and at high risk as they are more prone to acquiring respiratory infections due to deterioration of the immune system and alteration of glucose levels. Objective: To describe the complications in diabetic patients with COVID-19. Methodology: meta-analysis of articles published until September 14, 2020 in databases such as: Medline, PubMed, Lilacs, Scielo, Redalyc, Elsiever, BVS and academic Google. The search was carried out in 4 phases; the first for search, the second for selection, the third for information extraction and the fourth for analysis. Results: The main complications of diabetic patients with COVID-19 are: severe respiratory distress syndromes and extrapulmonary systemic hyperinflammation syndrome, shock, vasoplegia, respiratory failure, cardiopulmonary collapse, severe pneumonia, myocarditis, acute kidney injury, pancreatic damage, this due to immunological and hypoglycemic mechanisms that lead to an increased risk of death. Conclusion: Patients with diabetes do present greater complications in COVID-19 pictures, since when there is inadequate glycemic control, there is a greater susceptibility to developing a severe septic picture due to a failure in the body's response to pathogens.