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Article

Perceptions about the Management of Patients with DM2 and COVID-19 in the Hospital Care Setting

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Servicio de Medicina Interna, Hospital Regional Universitario, Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga (UMA), 29010 Málaga, Spain
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Unidad de Endocrinología y Nutrición, Hospital General, Calle Luis Erik Clavería Neurólogo S/N, 40002 Segovia, Spain
*
Author to whom correspondence should be addressed.
Academic Editors: Paul L. Huang and Gyanendra Tripathi
J. Clin. Med. 2022, 11(15), 4507; https://doi.org/10.3390/jcm11154507
Received: 29 June 2022 / Revised: 20 July 2022 / Accepted: 30 July 2022 / Published: 2 August 2022
(This article belongs to the Special Issue Clinical Research on Type 2 Diabetes and Its Complications)
Background: COVID-19 entails a higher rate of complications in subjects with type 2 diabetes mellitus (T2DM). Likewise, COVID-19 infection can cause alterations in glucose metabolism that may lead to worse control. The aim of the study was to analyse the perceptions of a large group of Spanish physicians about the relationship between COVID-19 and T2DM, as well as the management, monitoring, and treatment of both diseases. Methods: A cross-sectional multicenter national project was conducted based on a survey which included opinion, attitude, and behavior (OAB) questions. Physicians specialised in internal medicine or endocrinology, whose usual clinical practices included the management of T2DM, responded to the survey between March and April 2021. Results: A total of 112 participants responded to the survey, from which 64.3% believed that COVID-19 entailed a higher risk of glycaemic decompensation irrespective of the presence of previously known T2DM. Obesity was considered a risk factor for poor control of T2DM by 57.7% and for a worse course of COVID-19 by 61.0%. Treatment intensification in not-on-target patients was considered by 57.1% in the presence of COVID-19 and by 73.2% in the absence of COVID-19. No participants considered the suspension of dipeptidyl peptidase 4 inhibitors (DPP-4i) in ambulatory patients, 85.7% declared that this therapeutic approach in hospitalized patients should be kept, and 88.4% supported the option of maintaining DPP-4i when corticosteroids were prescribed. Conclusion: The physicians involved in the management of T2DM and COVID-19 are aware of the bidirectional relationship between both conditions. However, the monitoring and therapeutic management of patients with T2DM who are infected by SARS-CoV-2 needs improvement through the following of the current recommendations and available evidence. View Full-Text
Keywords: diabetes mellitus; type 2; diabetes complications; coronavirus infections; hypoglycemic agents; hospitalization; ambulatory care; comorbidity diabetes mellitus; type 2; diabetes complications; coronavirus infections; hypoglycemic agents; hospitalization; ambulatory care; comorbidity
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MDPI and ACS Style

Gómez-Huelgas, R.; Gómez-Peralta, F. Perceptions about the Management of Patients with DM2 and COVID-19 in the Hospital Care Setting. J. Clin. Med. 2022, 11, 4507. https://doi.org/10.3390/jcm11154507

AMA Style

Gómez-Huelgas R, Gómez-Peralta F. Perceptions about the Management of Patients with DM2 and COVID-19 in the Hospital Care Setting. Journal of Clinical Medicine. 2022; 11(15):4507. https://doi.org/10.3390/jcm11154507

Chicago/Turabian Style

Gómez-Huelgas, Ricardo, and Fernando Gómez-Peralta. 2022. "Perceptions about the Management of Patients with DM2 and COVID-19 in the Hospital Care Setting" Journal of Clinical Medicine 11, no. 15: 4507. https://doi.org/10.3390/jcm11154507

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