Challenges and strategies of health care for diabetics in the context of Covid-19
Keywords:
Health Care, Covid-19, Risk factors, Diabetes MellitusAbstract
Objective: to present the challenges and strategies of care for diabetic patients in specialized services in the face of the Covid- 19 pandemic. Method: Study of theoretical reflection on the challenges and strategies of care for diabetic patients in the face of the pandemic. Such reflections arise from readings on the theme, having as guiding axes, the theoretical postulates about Covid-19 and specialized care for diabetic patients, in addition to our personal and professional experiences. Results: Diabetic patients do not seem to have an increased risk of becoming infected with Covid-19, however, once infected, they are more likely to evolve to a more severe form and greater risk of death. Good glycemic control can decrease the risk of complications in this group. Ensuring the care of diabetic patients, with minimal exposure to health services, has been one of the great challenges of health units, which needed to implement strategies, such as changes in the flow of care, risk screening for all patients, reduced consultations face-to-face, mandatory use of a mask, preparation of information booklets, remote guidance and monitoring of blood glucose levels, dispensing medications on schedule, among others. Conclusion: The complexity of the Covid-19 pandemic and the measures of social distance brought challenges in the care of diabetic patients, ranging from the repercussion of isolation in the daily lives of these individuals, the need for changes in the routine of services, in addition to exposure and conditions of health professionals.
References
Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72,314 cases from the Chinese Center for Disease Control and Prevention. JAMA 2020; 323 (13): 1239-1242. Doi: https://doi.org/10.1007/10.1001/jama.2020.2648
Rankbr. CoronaVírus: a pandemia no Brasil. [Internet]. 2020 [cited Jun 18, 2020]. Available from: https://www.rankbr.com.br/ .
Moreira Rafael da Silveira. Covid – 19: unidades de terapia intensiva, ventiladores mecânicos e perfis latentes de mortalidade associados à letalidade no Brasil. Cad. Saúde Pública 2020; 36(5): e00080020.
Li X, Song Y, Wong G, Cui J. Bat origin of a new human coronavirus: there and back again. Science China. 2020; 63(3): 461-462. doi: https://doi.org/10.1007/s11427-020-1645-7
Strabelli TMV, Uip DE. COVID-19 e o Coração. Arq. Bras. Cardiol [Internet]. 2020 [cited Apr 3, 2020]. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2020005005205&lng=en&nrm=iso&tlng=pt&ORIGINALLANG=pt#B4 .
Muniyappa Ranganath, Gubbi Sriram. COVID-19 pandemic, coronaviruses, and diabetes mellitus. Am J Physiol Endocrinol Metab 2020; 318: E736–E741.
Maddaloni E, Buzzetti R. Covid-19 and diabetes mellitus: unveiling the interaction of two pandemics. Diabetes Metab Res Rev. [Internet]. 2020 [cited Jun 10, 2020]; e33213321. doi: https://doi.org/10.1002/dmrr.3321
Pal R, Bhadada SK. COVID-19 and non-communicable diseases. Postgrad Med J. [Internet}. 2020. [cited jun 10, 2020]. Available from: https://pmj.bmj.com/content/early/2020/05/28/postgradmedj-2020-137742?utm_term=consumer&utm_content=062020covid&utm_campaign=covidtrendmd&utm_medium=cpc&utm_source=trendmd . doi:
Ministério da Saúde (BR). Plataforma Integrada de Vigilância em Saúde-IVIS. Doença pelo Coronavírus (COVID-19). [Internet] 2020a [cited 20 Jun 2020]. Available from: Disponível em: http://plataforma.saude.gov.br/coronavirus/.
Gamble A, Pham Q, Goyal S, Cafazzo JA. The Challenges of COVID-19 for People Living With Diabetes: Considerations for Digital Health. JMIR Diabetes. 2020;5(2):e19581. doi: https://doi.org/10.2196/19581
Peric S, Stulnig TM. Diabetes e COVID-19. [Internet]. 2020 [cited Jun 10, 2020. Available from: https://link.springer.com/article/10.1007/s00508-020-01672-3.
Bornstein SR, Rufino FMD, Khunti MD, Mingrone G, Hopkins D, Birkenfeld AL et al. Practical recommendations for the management of diabetes in patients with COVID-19. The Lancet. Diabetes & Endocrinology. The lancet Diabetes & Endocrinology. 2020; 8(6): 546-550. doi: https://doi.org/10.1016/S2213-8587(20)30152-2
Pal R, Bhansali A. COVID-19, diabetes mellitus and ACE2: The conundrum, Diabetes Research and Clinical Practice. 2020; 8227(20):30382-X. doi: https://doi.org/10.1016/j.diabres.2020.108132 .
Katulanda P, Dissanayake HA, Ranathunga I, Ratnasamy V, Wijewickrama P, Yogendranathan N, Gamage K, de Silva NL, Sumanatilleke M, Somasundaram NP, Matthews DR. Prevention and management of COVID-19 among patients with diabetes: an appraisal of the literature. Diabetologia.2020:1–13. doi: https://doi.org/10.1007/s00125-020-05164-x
Ministério da Saúde (BR). Manual do Ministério: Protocolo de manejo clínico do coronavírus (covid-19) na atenção primária à saúde. Brasília: Ministério da Saúde; 2020b.
Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária. Orientações para serviços de saúde: medidas de prevenção e controle que devem ser adotadas durante a assistência aos casos suspeitos ou confirmados de infecção pelo novo coronavírus Covid-19. Brasília: Ministério da Saúde; 2020c.
Ministério da Saúde (BR). Protocolo de Manejo Clínico da COVID-19 na atenção especializada. Brasília: Ministério da Saúde; 2020d.
Aktipis Athena, Alcock Joe. How the coronavirus escapes an evolutionary trade-off that helps keep other pathogens in check. https://theconversation.com/how-the-coronavirus-escapes-an-evolutionary-trade-off-that-helps-keep-other-pathogens-in-check-140706
Fang Lei, Karakiulakis George, Roth Michael. Are patients with hypertension and diabetes mellitus atincreased risk for COVID-19 infection? Lancet Respir Med [Internet]. 2020 [cited 10 Jun 12, 2020]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118626/
SBD. Sociedade Brasileira de Diabetes. Notas de esclarecimentos da Sociedade de Diabetes sobre o coronavírus (COVID-19). [Internet]. 2020 [cited Jun 10, 2020]. Available from: https://www.diabetes.org.br/publico/notas-de-esclarecimentos-da-sociedade-brasileira-de-diabetes-sobre-o-coronavirus-covid-19/2060-o-diabetes-no-cenario-da-pandemia-de-sars-cov-2 .
Ghosal Samit, Sinha Binayak, Majumder Milan, Mista Anoop. Estimation of effects of nationwide lockdown for containing coronavirus infection on worsening of glycosylated haemoglobin and increase in diabetes-related complications: A simulation model using multivariate regression analysis Diabetes & Metabolic Syndrome. Clinical Research & Reviews. 2020; 14 (4): 319-323. Doi: https://doi.org/10.1016/j.dsx.2020.03.014
Portugal JKA, Reis MHS, Barão Évelyn JS, Souza TTG, Guimarães RS, Almeida LS, Pereira RMO, Freire NM, Germano SNF, Garrido MS. Percepção do impacto emocional da equipe de enfermagem diante da pandemia de COVID-19: relato de experiência. Revista Eletrônica Acervo Saúde. 2020; 46: e3794. doi: https://doi.org/10.25248/reas.e3794.2020
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