[Reporter Wang Yixuan/Zhu County Report]The number of cases of new coronary pneumonia this year has reached one million. Physician Luo Weicheng, Physician of the Metabolism Department of the Hsinchu Branch of Taipei Rong Zong, reminded that, as a group of chronic diseases, it is recommended that everyone with diabetes should still be vaccinated against the new crown and maintain normal heart control and continuous blood sugar. The Diabetes Society has published guidelines for the care of new coronary pneumonia and diabetes. The following highlights are for the reference of people with diabetes.
[Whatwillhappentobloodsugarafterinfectionwiththenewcoronavirus?】
The human body may suffer from insufficient insulin secretion for a while after infection with the new coronavirus. If there is no immediate adjustment and response at this time, blood sugar may rise and the probability of ketoacidosis in diabetic patients may increase. This is because the virus invades the human body to produce inflammatory substances, produces insulin resistance, and is not properly hydrated. Diabetics should monitor blood sugar more at home and add enough water.
【Should I be vaccinated? 】
Having been vaccinated against COVID-19, patients with mild symptoms will be less affected by the “post-COVID-19 syndrome”. Controlled and stable diabetic patients, those with comorbidities but regular follow-up, as long as there is no contraindication to the vaccine, are recommended to be vaccinated. For acute diseases such as acute hyperglycemia and acute infection, it is recommended to slow down the vaccination, and only after the condition is stabilized can the vaccine be vaccinated after evaluation by a doctor.
[Canpoorbloodsugarcontrolbevaccinated?WillitaffecttheeffectivenessoftheCOVID-19vaccine?】
If it is an acute hyperglycemia change, the problem of hyperglycemia should be dealt with first, and the evaluation will be made after the treatment of hyperglycemia is stable. There is currently no evidence that blood sugar levels affect the effectiveness of the vaccine.
【Precautions for Diabetics after the COVID-19 Vaccination】
Most of the reactions that may occur after vaccination are pain, redness and swelling at the local vaccination site, which usually disappear within a few days. Some vaccinated persons may have a fever reaction (≧38°C) within two days. Other possible symptoms include fatigue, headache, muscle pain, chills, joint pain and fever. These are mild symptoms and disappear within a few days. Special attention must be paid if, within 28 days of vaccination, “severe persistent headache, vision changes or seizures”, “severe and persistent abdominal pain for more than 24 hours”, “severe chest pain or difficulty breathing”, “swelling of the lower extremities” or pain”, “spontaneous bleeding spots, bruises, purpura, etc. on the skin”, please seek medical attention as soon as possible. Diabetics still need to maintain good blood sugar, strengthen blood sugar monitoring, maintain good blood pressure control, strengthen blood pressure monitoring, eat a balanced diet, and get enough sleep.
[HavechronicdiseasessuchasdiabetesheartdiseasestrokeetchaveahistoryofthrombosisandaretakinganticoagulantdrugsIsitsuitablefortheAZ(AstraZeneca)newcrownvaccine?】
Since the rare thrombotic side effects (thrombosis and thrombocytopenia syndrome) caused by the AZ new crown vaccine injection may be related to the vaccine, the possible mechanism of its production is a special physical reaction. After vaccination, it produces antibodies to its own platelets, leading to blood agglutination , thrombosis, which is not the same as the cause of coronary thrombosis or cerebrovascular thrombosis. Therefore, people with these diseases will not be more prone to coronary thrombosis or cerebrovascular thrombosis because of the AZ new crown vaccine.
[Isthereanydifferenceintheprotectiveefficacyofthenewcrownvaccineinpatientswithdiabetes?】
Diabetes or hyperglycemia did not affect the kinetics and persistence of the neutralizing antibody disease response to SARS-CoV-2 infection. The protective efficacy of vaccines in diabetic patients is no different.
[How to supplement nutrition during diagnosis]
Diagnosed patients should supplement with protein foods. Fruits such as guava and kiwi fruit rich in vitamin C are also good choices. If the appetite becomes poor after diagnosis, supplement liquid nutrition products to avoid nutritional imbalance. (Reference: Diabetes Society)
Photo: Physician Luo Weicheng, Department of Metabolism, Taipei Rongzong Hsinchu Branch. (Provided by Beirong Hsinchu)