Today
we will be discussing about the safety measures and precautions that a diabetic
person should take in the global pandemic – COVID- 19.
If
you have diabetes, you've probably noticed that diabetes always
pops up on lists of people at higher risk from COVID-19 infections.
And you've probably be thinking why it is so.
Diabetes and Coronavirus
The fact is that people with diabetes any type
don't seem to have a greater risk of catching the virus. The bad news is if you
do get it and you have diabetes, you have higher chances of having a more
serious illness.It is seen that people with certain endocrine disorders, like
diabetes, may face additional risks from COVID-19. It is found in studies that about 25% of people
who went to the hospital with severe COVID-19 infections had diabetes.
Those with diabetes were more likely to have serious complications and to die
from the virus. One reason is that high blood sugar weakens the immune system
and makes it less able to fight off infections.
Your risk of severe coronavirus infection is even
higher if you also have another condition, like heart or lung disease.If
you do get COVID-19, the infection could put you at greater risk for diabetes
complications.It is noted that people with diabetes who
have been hospitalized seem to be more likely to die from the infection.
The
higher death rate in people with diabetes may actually be due to
underlying heart disease. But until researchers have more data and time to
interpret the information, it won't be clear if diabetes alone plays a role in
more serious outcomes.
If
you have diabetes and you end up with a serious COVID-19 infection,
it's a good idea to bring your medicines and insulin with you to the hospital,
particularly if you're insulin-dependent. As hospitals may not keep
all types of insulin on hand. The same is true for continuous glucose
monitor supplies and insulin pump supplies.
Some
hospitals may not allow you to bring supplies in, and if that's the case you'll
need to follow the hospital rules. If you're well enough to do so, some
hospitals will allow you to continue to treat your diabetes on your own.
Tips to Avoid Infection
The best way to avoid getting sick is to stay
home as much as you can. people with diabetes have the right to
"reasonable accommodations at work." That includes the right to work
from home or take sick leave when you need it.
If you have to go out, keep at least 6 feet away
from other people, and wear a cloth face mask. Wash your hands or use hand
sanitizer often while you’re out and when you get home.
Also wash your hands before you give yourself a
finger stick or insulin shot. Clean each site first with soap and
water or rubbing alcohol.
To protect you, everyone in your house should wash
their hands often, especially before they cook for the family. Don't share any
utensils or other personal items. And if anyone in your house is sick, they
should stay in their own room, as far as possible from you. They should
wear a cloth face mask when you have to be in the same room.
Your COVID-19 Diabetes Plan
Social distancing and shelter-in-place rules may
make it harder to get the supplies you need. Stock up on enough goods to last
you for a couple of weeks, in case you get quarantined.
Make sure you have:
- Enough food, especially
healthy carbs like whole-wheat crackers, vegetable or noodle soups, and
unsweetened applesauce
- Simple carbs like honey,
sugar-sweetened soda, fruit juice, or hard candies in case your blood
sugar dips
- The maximum number of
refills you can get of your insulin and other medications
- Extra glucagon and
ketone strips
- Phone numbers for your
doctors and health insurance company
So if you have questions for your doctor, you can
ask by video chat or phone instead of going into the office.
When you talk to your doctor, ask:
- How often to check
your blood sugar and ketones
- How to adjust your
diabetes medicines if you're sick
- What cold and flu
remedies are safe for you to take
What to Do if You Get Sick
If you start feeling sick, stay home. Check your
blood sugar more often than usual. COVID-19 can reduce your appetite and cause
you to eat less, which could affect your levels. You also need more fluids than
usual when you're sick. Keep water close by, and drink it often.
Some over-the-counter medicines that relieve virus
symptoms like fever or cough can affect your blood
sugar levels. High doses of aspirin or ibuprofen can lower
blood sugar levels. Acetaminophen can cause falsely high readings on a
continuous glucose monitor. Many liquid cough and cold medicines are high in
sugar, which can raise your blood sugar levels. Before you take them, check
with your doctor or diabetes team. Tell your doctor if you've taken them and
your blood sugars are out of control.
Call your doctor if you get coronavirus-like
symptoms such as a dry cough, fever, or shortness of breath. Have your
most recent blood sugar and ketone readings available to share with your
doctor.
Get medical help right away if you have:
- Moderate or large ketones
- DKA symptoms like
tiredness, weakness, body aches, vomiting, or belly pain
- Severe shortness of
breath
How
to keep your sugar level in control in lockdown
While
following the norms like social distancing you may get trapped in your house
which will lead to high blood sugar level . here are some of exercise which you
can practise at home during lockdown:
1.
Dance - Dance, we all know, is a great exercise and
workout. Diabetics may not feel extremely energetic to do a high-intensity
dance workout like Zumba, etc. Therefore, they can do a free-style dance that
helps them move their whole body – arms, legs, etc. Create a playlist for as
long as you want to workout, and you can do a dance workout in the morning, or
evening.
2.
Climbing stairs - If you have a staircase in
your house, you do not need any other equipment for a good workout. Climb
stairs quickly, at a good pace, as an exercise. If you do not have a full
staircase, you can climb up and down on a single step.
3.
Strength training - Strength training
exercises like lifting weights, push-ups, pull-ups, etc, can help in strength
building for diabetics. You can lift small weights if you have them at home, or
can do push-ups, planks, pull-ups, etc.
4.
Yoga - Yoga is a wonderful exercise that helps to calm the
mind and also helps improve diabetes management. Yoga is perhaps the best
exercise to include in your routine during the lockdown, as it will also keep
your mental health in check. The best part about Yoga is that it can be
performed anywhere and you do not require any equipment for it. You can perform
Yoga in your balcony, terrace, or even your living room.
At
last I would like to say that you should try to avoid contact with people and
should have protective equipment like masks and sanitizers with you to avoid
infection
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