This chat with wife of one of my #Diabetes patients adm with #Covid19

1. Please trust the Doctors taking care of you. They know best at that point of time.

2. Steroids may be one of the drugs used for treatment especially when oxygen saturation low (1/n)
3.Steroids can significantly affect glucose levels.They can typically cause rise in after meal glucose levels during the day & morning fasting glucose levels are better

4.Some oral agents (tablets) for Diabetes may need to be stopped on admission(2/n)

#Diabetes #COVID19India
5. Insulin will be required in most patients on steroids. Please allow your Doctors to use this drug to control your glucose levels.

6. You may see glucose levels u have never seen or heard all your life. Levels of upto 300-400 mg% are likely to be seen(3/n)

#Diabetes #COVID19
7. Even some patients who did not have diabetes in past may find that have been detected newly diagnosed DM or may have high glucose levels due to steroids and other reasons. Insulin may be required in such cases also (4/n)
8. In many diabetes patients, when the glucose control prior to admission was good, gradually when steroids are tapered and stopped, there is a good chance Insulin also can be reduced/ stopped depending on glucose levels and HbA1C. Diet and exercise will be important (5/n)
So, always inform ur regular Doctor and always trust the Doctor who is treating at present in hospital. Remember Doctors, Nurses & all healthcare staff are going thru a lot of stress & many are working overtime. Do trust them & help them treat u better (6/6) #COVID19 #Medtwitter
@RoadsOfMumbai @mumbaimatterz For patients who have Diabetes and are admitted with Covid 19. Some pointers for patient and family members.

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More from @baxirahul

6 Apr
Me: Since how many years u have Diabetes?

Patient: Sir, I had ‘borderline diabetes’ since 5 years. Not on medicines, only diet. First time now, I have checked in yrs,sugars 220 (Fasting) 310 (after food)

What’s ‘borderline diabetes’ Thread. #PreDiabetes #Medtwitter (1/n)
What is #Prediabetes

When glucose levels don’t meet criteria for Diabetes but r still high to be considered normal. Includes

1. IFG - Impaired Fasting glucose - FPG 100-125 mg%

2. IGT (75 gm OGTT)- Impaired Glucose Tolerance - 2 hr PG 140-199 mg%

3. HbA1C - 5.7-6.4% (2/n)
#Prediabetes increases future risk of Diabetes and cardiovascular disease (CVD).

It may be a/w Obesity, Dyslipidemia (deranged cholesterol levels) and Hypertension (high blood pressure) (3/n)
Read 9 tweets
8 Jul 20
In this thread I will mention precautions to be taken by #Diabetes patients in today’s scanario with #COVIDー19 #coronavirus #India #Mumbai (Ref IDF) @drmohanv @DrAmbrishMithal @AskDrShashank @docanoopmisra @Unnikri @DrDeepakKrishn1 @serioustaurean @DNeurosx @viswas_mr (1)
Recommendations for general public are doubly important for patients with #Diabetes & those living in their close contact 1.Wash hands thouroughly and regularly 2.Avoid touching face before washing and drying hands #COVIDー19 #coronavirus (2)
Clean and disinfect any objects & surfaces touched frequently (door handles, mobile phones, tv remotes). Don’t share towels, food, glasses. (3)
Read 13 tweets

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