(HealthDay News) — Both type 1 and type 2 diabetes independently increase the adverse impacts of COVID-19, according to a study published online in Diabetes Care.

Justin M. Gregory, MD, from the Vanderbilt University School of Medicine in Nashville, Tennessee, and colleagues used data from a regional health care network to understand the risk for COVID-19-related hospitalization and illness severity in patients with type 1 diabetes.

The researchers identified COVID-19 in 6138 patients without diabetes, 40 with type 1 diabetes, and 273 patients with type 2 diabetes. People with type 1 diabetes had adjusted odds ratios of 3.90 for hospitalization and 3.35 for greater illness severity, compared to people not having diabetes, which was similar to risk among those with type 2 diabetes. Among patients with type 1 diabetes, illness severity was significantly associated with glycosylated hemoglobin (HbA1c), hypertension, race, recent diabetic ketoacidosis, health insurance status, and less diabetes technology use.


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“Potentially modifiable factors (e.g., HbA1c) had significant but modest impact compared with comparatively static factors (e.g., race and insurance) in type 1 diabetes, indicating an urgent and continued need to mitigate severe acute respiratory syndrome coronavirus 2 infection risk in this community,” the authors write.

Reference

Gregory JM, Slaughter JC, Duffus SH, et al. COVID-19 Severity Is Tripled in the Diabetes Community: A Prospective Analysis of the Pandemic’s Impact in Type 1 and Type 2 Diabetes. Diab Care.