![]() Basically, long COVID is defined as new, ongoing, or returning symptoms 4 weeks or more after an initial infection with SARS-CoV-2, the virus that causes COVID-19. Q: What is long COVID? Are people with diabetes more likely to develop this condition?Ī: We are in a rapid, exciting, confusing evolution of defining long COVID. We are concerned that people with diabetes and a severe COVID-19 infection could do worse in the long run, and we will keep an eye on that. There is evidence of disrupted glucose and metabolic control after COVID-19 infection in people with diabetes. Like diabetes, COVID-19 affects the microvasculature, or small blood vessels. What is their clinical trajectory? What is their natural history? Are they more likely to have lingering symptoms of COVID-19, such as blood clots or shortness of breath? We’re not sure yet. We don’t know as much about how these patients fare after they leave the hospital and their COVID-19 infection resolves. For people with other comorbidities, such as heart disease, high blood pressure, or obesity, the risk of serious COVID-19 complications was higher still. For example, people with diabetes who were hospitalized for COVID-19 were more likely to require oxygen or ventilator support, to be admitted to the ICU, or even to die prematurely from a COVID-19 infection. Q: How does having COVID-19 affect people with diabetes?Ī: We learned from early reports out of China that people who had diabetes prior to a COVID-19 infection were more likely than people without diabetes to have a poor outcome. Jane Reusch, MD‚ co-chair of the Metabolic Disorders Task Force for NIH’s Researching COVID to Enhance Recovery (RECOVER) Initiative, explains how research may affect diabetes diagnosis, treatment, and long-term complications. ![]() ![]() Three years later, researchers continue to study the effects of COVID-19 on people with diabetes, the phenomenon of new-onset diabetes after COVID-19, and the possible mechanisms underlying the COVID-19–diabetes relationship. Early in the pandemic, scientists found that many people with diabetes who got COVID-19 had severe outcomes. ![]()
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