Guidance on the management of Diabetic Ketoacidosis in the exceptional circumstances of the COVID-19 pandemic

Authors: Rayman, Gerry;

Lumb, A.;

Kennon, Brian;

Cottrell, C.;

Nagi, Dinesh;

Page, E.;

Voigt, D.;

Courtney, H.C.;

Atkins, H.;

Platts, J.;

Higgins, Katie;

Dhatariya, K.;

Patel, Mayank;

Narendran, Parth;

Kar, Partha;

Newland-Jones, P.;

Stewart, R.;

Burr, O.;

Thomas, S.

Source: Diabetic Medicine

Full text

: https://doi.org/10.1111/dme.14328

Abstract

During the early stages of the COVID‐19 pandemic, hospitals in London, the UK epicentre, reported an unusually high number of people presenting with COVID‐19 disease developing diabetic ketoacidosis, hyperosmolar hyperglycaemic state, or a combination of both. Very high doses of insulin were often needed to manage the hyperglycaemia. It has been proposed that these metabolic disturbances may result from severe insulin resistance combined with decreased insulin secretion due to beta cell dysfunction.

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Cite as

Rayman, G., Lumb, A., Kennon, B., Cottrell, C., Nagi, D., Page, E., Voigt, D., Courtney, H., Atkins, H., Platts, J., Higgins, K., Dhatariya, K., Patel, M., Narendran, P., Kar, P., Newland-Jones, P., Stewart, R., Burr, O. & Thomas, S. 2020, 'Guidance on the management of Diabetic Ketoacidosis in the exceptional circumstances of the COVID-19 pandemic', Diabetic Medicine, 37(7), pp. 1214-1216. https://doi.org/10.1111/dme.14328

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DOI: https://doi.org/10.1111/dme.14328

Repository URI: https://discovery.dundee.ac.uk/en/publications/b3729420-7429-44ce-8211-977244a5e9e4