Key TakeawaysA new study found that 13% of patients admitted to the hospital with COVID-19 developed diabetes.About 40% of those patients no longer had the chronic health condition during a follow-up.Experts are still exploring link the link between COVID-19 and newly-onset diabetes.
Key Takeaways
A new study found that 13% of patients admitted to the hospital with COVID-19 developed diabetes.About 40% of those patients no longer had the chronic health condition during a follow-up.Experts are still exploring link the link between COVID-19 and newly-onset diabetes.
Previous research shows that many COVID-19 patientsdeveloped type 2 diabetesafter contracting the virus. But a new study shows that this health complication may be only temporary for some.
That’s the major takeaway from a new study published in theJournal of Diabetes and Its Complications. For the study, researchers from Massachusetts General Hospital analyzed data from 1,902 people who were admitted to their medical center between March and September 2020 with COVID-19.
Of those people, 594 (31.2%) had known cases of diabetes, while 77 (13%) had no known diabetes diagnosis before they were admitted. The researchers discovered that many of the newly diagnosed patients had less severe blood sugar levels than those who had been previously diagnosed, but the newly diagnosed patients had more severe forms of COVID-19.
What Is Diabetes?
During a follow-up through July 2021, the researchers found that about half of those who were newly diagnosed with diabetes had blood sugar levels that went back to normal or were classified as prediabetes. Only 8% of those patients still required the use of insulin to control their blood sugar a year after their hospitalization.
“Early in the pandemic, many articles suggested that diabetes was associated with worse outcomes from COVID-19,” lead study authorSara Cromer, MD, a clinical and research fellow in endocrinology at Massachusetts General Hospital, told Verywell. But, she added, many studies “showed the opposite”—that COVID-19 might lead to diabetes complications.
Experts Explain How COVID-19 May Be Causing New Cases of Diabetes
What This Means For YouIf you were diagnosed with diabetes after having COVID-19, there is a chance it may be a temporary condition. However, it’s best to work closely with your healthcare provider to monitor the condition.
What This Means For You
If you were diagnosed with diabetes after having COVID-19, there is a chance it may be a temporary condition. However, it’s best to work closely with your healthcare provider to monitor the condition.
Why Might COVID-19 Lead to Diabetes?
Previous studies have shown a link between COVID-19 and a new diagnosis of diabetes.Cromer said that this association “has been a topic of great debate.”
“Multiple studies have shown that SARS-CoV-2 may infect the beta cells of the pancreas, leading to decreased insulin synthesis and secretion, similar to type 1 diabetes,” Cromer explained. “However, we have also seen many patients require enormous amounts of insulin which suggest severe insulin resistance, similar to type 2 diabetes.”
Other types of severe illness and infections in the past led to the development of insulin resistance, or when the cells in your body don’t respond well to insulin, “so we know this is possible,” Cromer said.
When a diabetes diagnosis is temporary what it “likely reflects is a physiological stress response driving blood glucose levels up,” infectious disease expertAmesh A. Adalja, MD, a senior scholar at the Johns Hopkins Center for Health Security, told Verywell. This, he points out, is known as stress hyperglycemia, and tends to resolve itself over time.
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As for people who were diagnosed with diabetes in the hospital that didn’t see an improvement in their condition, it’s likely that they were “prediabetic before they got COVID or diabetic but not diagnosed,”Thomas Russo, MD, professor and chief of infectious disease at the University at Buffalo in New York, told Verywell.
Russo said it’s possible, though, that COVID-19 could trigger the development of diabetes that lasts. “The beta cells in the pancreas that produce insulin may take a hit and the organs may be damaged directly from some combination of the virus or inflammation,” he said. “This is definitely an association right now.”
High Blood Sugar Can Increase COVID-19 Risk, Even Without Diabetes
Adalja points out that the study’s findings are limited because it was not reported if patients used corticosteroid dexamethasone, which is a standard treatment for COVID-19 in hospitalized patients. “Corticosteroids induce hyperglycemia themselves,” he said. However, he noted, dexamethasone wasn’t used as commonly to treat hospitalized patients during the study period.
The fact that patients included in the study were just from one healthcare system and the sample size was relatively small limit the findings as well.
Ultimately, experts say, more research is needed to determine the link between COVID-19 and the development of diabetes—including whether it’s typically fleeting or not.
The information in this article is current as of the date listed, which means newer information may be available when you read this. For the most recent updates on COVID-19, visit ourcoronavirus news page.
3 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Cromer SJ, Colling C, Schatoff D, et al.Newly diagnosed diabetes vs. pre-existing diabetes upon admission for COVID-19: associated factors, short-term outcomes, and long-term glycemic phenotypes.J Diabetes Complications. Published online February 4, 2022. doi:10.1016/j.jdiacomp.2022.108145National Institute of Diabetes and Digestive and Kidney Diseases.What is diabetes?Sathish T, Kapoor N, Cao Y, Tapp RJ, Zimmet P.Proportion of newly diagnosed diabetes in COVID-19 patients: A systematic review and meta-analysis.Diabetes Obes Metab. 2020 Nov 27. doi:10.1111/dom.14269
3 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Cromer SJ, Colling C, Schatoff D, et al.Newly diagnosed diabetes vs. pre-existing diabetes upon admission for COVID-19: associated factors, short-term outcomes, and long-term glycemic phenotypes.J Diabetes Complications. Published online February 4, 2022. doi:10.1016/j.jdiacomp.2022.108145National Institute of Diabetes and Digestive and Kidney Diseases.What is diabetes?Sathish T, Kapoor N, Cao Y, Tapp RJ, Zimmet P.Proportion of newly diagnosed diabetes in COVID-19 patients: A systematic review and meta-analysis.Diabetes Obes Metab. 2020 Nov 27. doi:10.1111/dom.14269
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Cromer SJ, Colling C, Schatoff D, et al.Newly diagnosed diabetes vs. pre-existing diabetes upon admission for COVID-19: associated factors, short-term outcomes, and long-term glycemic phenotypes.J Diabetes Complications. Published online February 4, 2022. doi:10.1016/j.jdiacomp.2022.108145National Institute of Diabetes and Digestive and Kidney Diseases.What is diabetes?Sathish T, Kapoor N, Cao Y, Tapp RJ, Zimmet P.Proportion of newly diagnosed diabetes in COVID-19 patients: A systematic review and meta-analysis.Diabetes Obes Metab. 2020 Nov 27. doi:10.1111/dom.14269
Cromer SJ, Colling C, Schatoff D, et al.Newly diagnosed diabetes vs. pre-existing diabetes upon admission for COVID-19: associated factors, short-term outcomes, and long-term glycemic phenotypes.J Diabetes Complications. Published online February 4, 2022. doi:10.1016/j.jdiacomp.2022.108145
National Institute of Diabetes and Digestive and Kidney Diseases.What is diabetes?
Sathish T, Kapoor N, Cao Y, Tapp RJ, Zimmet P.Proportion of newly diagnosed diabetes in COVID-19 patients: A systematic review and meta-analysis.Diabetes Obes Metab. 2020 Nov 27. doi:10.1111/dom.14269
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