From the very beginning of the pandemic it was immediately understood that diabetes mellitus represented one of the pathological conditions most favorable to the onset of severe forms of Covid-19. Similarly, over time it has been understood how effective the vaccine weapon is to reduce the risk of contracting SARS Cov-2 infection and, above all, to prevent an unfortunate evolution of the disease contracted. As further confirmation of how fundamental the vaccine is for the diabetic population, the updated results of the “Coronado” study, published in Diabetologia, arrive.
Data published in May 2020 showed that 10% of diabetic subjects with Covid died within the first week of hospitalization. A new analysis, carried out on 2,796 subjects enrolled at 68 French hospitals, shows that 1 patient out of 5, among diabetics hospitalized for Covid, dies within 28 days of admission and confirms that high glycemic values at the time of admission are associated with an increased risk of death. And, even more recently, an all-Italian study on almost 400 diabetic patients monitored by CGM (Continuous Glucose Monitoring), showed that vaccination for Covid-19 does not cause any glycemic anomaly and for this reason it is absolutely safe, generating an immune protection of long duration.
At the moment the only effective actions for the protection of diabetic subjects (and not only diabetics) against Sars-CoV-2 infection are social distancing and vaccine prophylaxis with immediate access to the “3rd dose”, especially if we think about the possible alterations of cellular immunity and the fact that this type of immunity in a part of diabetic subjects may not be sufficiently activated. It is also necessary for people affected by this condition to realize how fundamental the protection offered by the vaccine is but without ever letting their guard down with respect to maintaining the indispensable general safety rules necessary to limit the transmission of the virus and keeping high the focus on physical activity and nutrition.
What to do then? Attention to the diet, few simple sugars and few sweets, decrease carbohydrates avoiding to exclude them from the diet, reduce fatty foods and, without ever forgetting the important role that the intestine has for the health of the whole organism, keep the body healthy. entire intestinal ecosystem, limiting sedentary lifestyle as much as possible and increasing the time to devote to physical activity.
These will be the basic topics that will be analyzed in the next episode of , the scientific program edited weekly by the immunologist , contact person for Southern Italy of the Foundation for Personalized Medicine, scheduled at 3 pm on Friday 26 November. Paolo Fiorina, full professor of Endocrinology at the University of Milan and Director of the Diabetology department at the Fatebenefratelli-Sacco-Melloni Hospitals, and Dr. Dominga Maio, nutrition biologist of the Polismail Network will be present on the occasion.
Appointment at on Friday 26 .
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