Coronavirus UK: a quarter of the patients who died had diabetes



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According to official figures, a quarter of COVID-19 patients who died in hospitals in England had diabetes.

For the first time, NHS England has released a breakdown of deaths from pre-existing conditions. Only five percent of victims did not have an underlying problem.

Of the 22,332 patients who died since March 31, when pre-existing conditions began to be reported, some 5,873 (26%) had diabetes.

The condition, which affects around 4 million Britons, makes people more susceptible to developing infections.

High blood sugar levels can weaken the defense of the patient’s immune system, causing it to respond more slowly to viruses such as SARS-CoV-2.

It is also closely related to obesity, which has been recognized as possible risk factors for serious complications with COVID-19.

Doctors today said that diabetics would have better COVID-19 results if they managed their condition properly.

The NHS England figures also revealed that almost a fifth of COVID-19 victims in hospitals had dementia and 15 percent had COPD.

A quarter of COVID-19 patients who died in hospitals in England had diabetes, according to official NHS England figures. Nearly a fifth of COVID-19 victims in hospitals had dementia and 15 percent had COPD

A quarter of COVID-19 patients who died in hospitals in England had diabetes, according to official NHS England figures. Nearly a fifth of COVID-19 victims in hospitals had dementia and 15 percent had COPD

The official government death count shows that 33,614 people have died from COVID-19 in the UK, including 24,100 in hospitals in England.

As of today, the NHS has begun publishing ongoing information on the conditions of COVID-19 victims.

Of those that have occurred since March 31 (22,332), 5,873 patients who died had diabetes.

Diabetes is a common condition that affects one in 16 people in the UK. That includes both diagnosed and undiagnosed people.

WHY DOES DIABETES INCREASE THE RISK OF COVID-19?

Diabetes puts people at higher risk of developing severe COVID-19 because it weakens the immune system, scientists say.

The disease, which affects more than four million people in the UK, is caused by abnormal blood sugar levels. For most people, this takes the form of type 2 diabetes, in which there is too much sugar in the blood.

This, the researchers say, thickens the blood and reduces its ability to transport substances around the body at high speed.

Dr. Hajira Dambha-Miller, a GP and diabetes specialist, said that a patient’s blood turns into “molasses” as a result of high sugar levels.

“Physically, it is more difficult for the immune system to get to the virus,” he said. “Viruses do a lot of damage before the immune system realizes it’s there.”

Therefore, when someone is infected with the coronavirus, it may take longer for their body to respond and fight it, and the response may be less effective when it starts.

His disease does not make a diabetic person more prone to contracting the virus, that is indiscriminate, it is less likely that he can recover quickly.

Dr. Dambha-Miller added: ‘When the body is activated, it will not function as it should. The immune cells are damaged because they have been saturated with sugar for years and are not working as they should. ”

The American Diabetes Association says it is not clear whether COVID-19 will represent a risk difference between type 1 and type 2 diabetes.

But the risk of getting seriously ill with COVID-19 is likely to be lower if diabetes is managed well, regardless of whether it is type 1 or type 2.

The Association explains that people with diabetes often have other health problems, such as obesity, heart disease, or high blood pressure, which in turn contribute more to their risk of dying with COVID-19.

The ADA said: ‘Having heart disease or other complications in addition to diabetes could worsen your chance of becoming seriously ill from COVID-19, like other viral infections, because your body’s ability to fight an infection is compromised.

Viral infections can also increase inflammation, or internal swelling, in people with diabetes. This is also caused by blood sugars above the target, and both could contribute to more serious complications. ‘

People of African, Caribbean, or South Asian black origin are more likely to develop diabetes and have also been found to be at greater risk of dying if they contract the coronavirus.

Dr. Hajira Dambha-Miller, GP and diabetes specialist, said the data did not surprise her.

She told MailOnline: ‘People with diabetes are more susceptible to infections, even if we are not in the midst of a pandemic.

“Diabetes leads to increased susceptibility to infection because there is more sugar for insects to grow and chronic inflammation means that the immune system is slower to eliminate it.”

Dr. Dambha-Miller said that when someone has diabetes, their blood turns to “molasses” as a result of high sugar levels.

“Physically, it is more difficult for the immune system to get to the virus,” he said. ‘Bug viruses do a lot of damage before the immune system realizes it’s there.

‘When the body kicks in, it won’t work as it should. The immune cells are damaged because they have been saturated with sugar for years and are not working as they should. ”

Managing diabetes is notoriously difficult. It involves dealing with short-term events, such as high and low blood sugar levels, as well as understanding how to deal with the condition in the long term.

NHS England did not specify whether those who died had type 1 and type 2 diabetes. But experts say the risks of COVID-19 adverse outcomes are likely to be lower if either type is well administered.

Dr. Damnha-Miller said: ‘The better the sugar control, the better the results for people with diabetes. If people are very careful with sugar control in the long term, this will be helpful in improving results. There is tons of evidence regarding everyday infections like the flu or colds. ”

Diabetes is related to obesity and ethnicity, both of which have been independently identified as risk factors for COVID-19 disease severity.

Nine out of ten diabetics are type 2, which is offset by an unhealthy lifestyle. Increasing diagnoses of type 2 diabetes parallel high levels of obesity.

Ethnicity plays an important role in the prevalence of diabetes: it is four times more frequent in people in Bangladesh and India.

Pakistani women are five times more likely to develop diabetes, and Indian women are 2.5 times more at risk, according to the Diabetes.co.uk charity.

In general, the prevalence of diabetes is usually six times higher for people of South Asian origin and three times higher for people of African origin.

Emerging evidence linking obesity and ethnicity to COVID-19 has prompted an investigation by Public Health England.

A major study conducted in Glasgow last week found that obesity can double the risk of needing hospitalization for COVID-19.

Dr. Hajira Dambha-Miller, a GP and diabetes specialist, said better management of the disease would improve outcomes. Stock: Glucometer used to manage the condition

Dr. Hajira Dambha-Miller, a GP and diabetes specialist, said better management of the disease would improve outcomes. Stock: Glucometer used to manage the condition

EIGHT MILLION BRITS WITH HEALTH CONDITIONS “MUST BE EXEMPT FROM RETURNING TO WORK”

Eight million Britons with underlying health conditions should be exempt from returning to work when the coronavirus blockade is alleviated, scientists say.

Experts from University College London and Cambridge University fear that failing to protect the most vulnerable in society could increase the death toll in the UK to 73,000 in a year.

One in five people, more than 8 million people in Britain, have an increased risk of dying if they catch COVID-19 due to their age or poor health.

But the majority of this group do not consider themselves “clinically extremely vulnerable,” who were asked by the Health Department to “protect” for 12 weeks.

Britons with long-term conditions, such as heart disease and diabetes, would account for 80 to 90 percent of deaths, the researchers calculated.

And they said it means that another 30,000 Britons could die unless all high-risk people are protected for as long as possible and are not forced to return to work after the shutdown.

In a separate worst-case estimate, they predicted up to 590,000 deaths if the government did nothing and 80 percent of the population became infected in one year.

Data from the Office for National Statistics today suggested that more than 40,000 people have already died from COVID-19, confirming Britain’s status as the most affected nation in Europe. But the researchers said this will increase much more.

If 10 percent of people in England are allowed to contract the virus, scientists said, and four percent are already believed to have, the death toll could double.

Lead author Dr. Amitava Banerjee of the UCL Institute of Health Informatics said, “I don’t think they should rush back to work until we’ve made sure the infection rate is low, transportation is configured and that workplaces are safe. ”

The study, published in The Lancet, examined the medical records of 3.8 million people and predicted what could happen after the closure.

He said that vulnerable people, including those over 70 and those with high blood pressure or asthma, make up 20 percent of the British population.

Dr Banerjee said: ‘This group is more likely to be admitted to hospital, to go to intensive care and to die.

“Why are we arguing about getting them back to work at this stage?”

And government data shows that the risk of dying from the coronavirus is “significantly” higher among some ethnic groups compared to whites, when age was taken into account.

For example, black people are four times more likely to die from the virus, which was only halved when health conditions and other factors are taken into account.

Charity Diabetes UK said the figures show an “urgent” need for more information to ensure the safety of people with diabetes as closure measures are eased.

Diabetics are among the most vulnerable to severe COVID-19, but the government does not consider them to be “extremely high risk.”

They can leave their homes to exercise and obtain medications, unlike those with rare cancers or organ recipients who must not leave their homes under any conditions.

Bridget Turner, Policy Director for Diabetes UK, said: ‘The fact that more than a quarter of people who have died with COVID19 have diabetes underscores the urgent need to ensure better protection and additional support available to those in groups. clinically vulnerable.

‘We still urgently need to understand through research why people with diabetes are affected in such numbers. But until we know more, people living with diabetes should be supported to manage their condition.

“The government must urgently ensure that employers take all necessary measures to keep employees with diabetes safe, if they are expected to attend work outside the home as restrictions are eased,” he said.

“This includes ensuring that guidance for employers is clear, consistent, and focused on employee safety above all else.”

Dementia was the second most common condition related to COVID-19 deaths: 18 percent of victims had memory disease.

After that was COPD (chronic obstructive pulmonary disease), which covers a number of lung conditions. Almost one in seven victims of COVID-19 had COPD.

About 14 percent of the victims had kidney disease, 10 percent had ischemic heart disease, and 7 percent had asthma.

NHS England said the accuracy of the data depends on the availability and transfer of information by healthcare providers, and that patients may have had more than one pre-existing condition.

It comes after a study warned that more than 8 million people in Britain are at increased risk of dying if they catch COVID-19 due to age or poor health.

But the majority of this group do not consider themselves “clinically extremely vulnerable,” who were asked by the Health Department to “protect” for 12 weeks.

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