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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Hapsari, Arini Ika
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Kadar Gula Darah dan Keparahan COVID-19 pada Pasien Diabetes Melitus di Ruang Rawat Intensif: Serial Kasus Audita, Fatira Ratri; Hapsari, Arini Ika; Nadhira, Andi Marsa; Aini, Muhammad Hafiz
Majalah Kedokteran Indonesia Vol 71 No 5 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.5-2021-358

Abstract

Introduction: The severity of coronavirus disease 2019 (COVID-19) ranges from mild flu to respiratory distress and death. Diabetes mellitus (DM) is considered as one of the risk factors for infection susceptibility and disease severity. This case series reports the clinical features, ancillary test findings, and mortality in patients with severe COVID-19 and DM.Case Illustration: This study reports three female patients, aged 50-68 years old, with severe COVID-19 and DM whom were hospitalized in intensive care unit from April to July 2020. Two patients presented with hyperglycemia upon admission. During hospitalization, two patients tended to be hyperglycemic, while the other one had more episodes of hypoglycemia. Two patients suffered from hospital-associated pneumonia and acute kidney injury throughout hospital stay. One patient passed away.Discussion: All patients had fluctuating general condition and unstable blood glucose levels during hospitalization. One patient passed away due to respiratory distress, while the other two were discharged after their general condition improved. Hyperglycemic and hypoglycemic states in DM patients are proposed to play a role in the severity of COVID-19 infection.Conclusion: DM may aggravate COVID-19 infection. Initial normal blood glucose levels upon admission does not guarantee good prognosis; therefore, blood glucose control in COVID-19 patients remains extremely crucial.
Co-Authors Aini, Muhammad Hafiz Audita, Fatira Ratri Nadhira, Andi Marsa