
Covid-19如何影响糖尿病的人
此信息基于Covid-19的当前知识,并随着额外的科学证据被释放,将更新。
We know you have questions. We have answers.
新冠肺炎and Diabetes
问:糖尿病的人更有可能得到Covid-19吗?
A:没有足够的数据来展示患有糖尿病的人是否比一般人群更容易获得Covid-19。糖尿病面孔的问题是他们更有可能在获得它的情况下更糟糕的并发症,而不是更大的机会获得病毒。此外,有人(例如,糖尿病加心脏病)的越来越健康的条件增加了他们从Covid-19获得那些严重并发症的风险。如果获得病毒,老年人也具有更高的并发症风险。
While the death toll is rising as the virus spreads, we expect the death rate—the number of people who die from the virus—to go down as we get better at detecting and treating it.
问:糖尿病的人是否有较高的Covid-19严重并发症的机会?
A: People with diabetes are more likely to have serious complications from COVID-19. In general, people with diabetes are more likely to have more severe symptoms and complications when infected with any virus.
如果您的糖尿病被妥善管理,您从Covid-19生病的风险可能会降低。患有心脏病或其他并发症外,除了糖尿病外,可能会使来自Covid-19的严重患病的可能性恶化,如其他病毒感染,因为一个以上的条件使您的身体更难以对抗感染。
病毒感染还可以增加糖尿病人的炎症或内部肿胀。这也可以是由上述血糖引起的,并且炎症可能导致更严重的并发症。
问:有1型和2型糖尿病的人是否有不同的风险?
A:CDC继续更新他们的website随着关于Covid-19的新信息可用。目前,他们报告说,任何年龄的人都有某些潜在的医疗病症,包括2型糖尿病,都是Covid-19严重疾病的风险。
Based on what the CDC is报告.at this time, people with type 1 or gestational diabetes might be at an increased risk for severe illness from COVID-19. Because COVID-19 is a new disease, we don’t know as much as we’d like to about how underlying medical conditions increase the risk for severe illness from COVID-19.
It’s important to remember that people with either type of diabetes can vary in their age, complications they’ve developed and how well they have been able to manage their diabetes. People who already have diabetes-related health problems are likely to have worse outcomes if they contract COVID-19 than people with diabetes who are otherwise healthy, whichever type of diabetes they have.
Q: Do I need to worry about DKA (diabetic ketoacidosis)?
A:When sick with a viral infection, people with diabetes do face an increased risk of糖尿病酮症酸中毒(DKA),常见于1型糖尿病的人经历过。
DKA可以使其挑战来管理您的液体摄入和电解质水平 - 这在管理败血症方面很重要。败血症和脓毒性休克是一些具有Covid-19的人的一些更严重的并发症experienced.
学习糖尿病酮酸的迹象(DKA),并务必与您的糖尿病护理团队谈论何时检查酮,如果有的话,何时联系您的医生。如果你生病了,知道该怎么做.
问:Covid-19是否导致糖尿病?
A:我们还没有证据表明Covid-19是否会导致糖尿病发作。
风险和警告标志
Q: Is COVID-19 different from the seasonal flu?
A:Covid-19被证明是比每个人的季节性流感更严重的疾病,包括糖尿病的人。避免感染的所有标准预防措施已被广泛报道的感染在处理此病毒时更为重要。
我们鼓励患有糖尿病的人跟随CDC的指导to be sure you’re doing everything you can to protect yourself and others. As always, people with diabetes should今年获得流感疫苗虽然了解流感疫苗的重要性是不防止Covid-19。
Q: What are the symptoms and warning signs I should be watching out for?
A:Covid-19的人报告了各种症状,从轻度症状到严重疾病。暴露于病毒后2-14天可能出现症状。注意潜在的Covid-19症状,包括:
- 发烧或辣
- Cough
- 呼吸急促或呼吸困难
- 疲劳
- Muscle or body aches
- Headache
- 新的味道或气味
- Sore throat
- 拥挤或流鼻涕
- 恶心或呕吐
- 腹泻
问:如果我认为我正在开发Covid-19的症状,我该怎么办?
A:If you fell like you are developing symptoms, call your doctor.
你打电话的时候:
- 有您的葡萄糖阅读可用
- 有你的ketone阅读可用
- 跟踪液体消耗(您可以使用1升水瓶)和报告
- Be clear on your symptoms (for example: are you nauseated? Just a stuffy nose?)
- 询问您如何管理糖尿病的问题
问:如果我经历过他们,我应该怎么办?
A:If you develop emergency warning signs for COVID-19 get medical attentionimmediately. In adults, emergency warning signs include:
- 难以呼吸或呼吸急促
- Persistent pain or pressure in the chest
- New confusion
- 无法唤醒或保持清醒
- Bluish lips or face
预防措施
问:我该如何做些什么来防止我家的Covid-19传播?
A:For people with underlying health conditions, including diabetes, healthy family members in the household should take steps as if they were a significant risk to them. For example, they should be sure to:
- 随时随地覆盖他们的鼻子和嘴巴,他们必须离开家。
- Wash their hands frequently, especially before feeding or caring for the vulnerable person.
- 距离不住在家庭的人至少6英尺。
了解有关保护自己和其他人的更多信息here.
问:如果我的家庭在Covid-19的阳性测试阳性,我该怎么办?
A:如果您家的成员生病,请务必提供自己的房间,如果可能,并保持门关闭。只有一个家庭成员关怀,并考虑为65岁以上的家庭成员提供额外的保护或更加重症监护,或者潜在的健康状况。了解有关如何保证您的家庭安全的更多信息here.
新冠肺炎and Insulin Accessibility
问:Covid-19会影响我对胰岛素和其他糖尿病用品的进入吗?
A:领先的制造商正在报告Covid-19是不是having an impact on their current manufacturing and distribution abilities for insulin and other supplies at this time. We are continuing to monitor the situation and will provide updates should anything change. If you are struggling to pay for insulin or know someone who is, the ADA has resources to help—visitInsulinhelp.org..
Covid-19在医院设置
Q: Can patients self-test using blood glucose meters labeled for home use while they are in the hospital during the COVID-19 pandemic?
A:Yes. The FDA recognizes that home-use blood glucose meters may be an option to provide relief and support to health care professionals in hospital settings seeking to reduce interactions between patients and health care providers, thereby limiting exposure to COVID-19, and conserving personal protective equipment (PPE), whenever possible.
In addition, some home-use blood glucose meters have built-in wireless data transmission capabilities, which can facilitate remote patient monitoring. Therefore, the FDA encourages hospitals to consider policies to allow patients to self-test using home-use blood glucose meters, which may include using patients’ own home-use blood glucose meters or providing a home-use blood glucose meter when patients are admitted to the hospital. Using strategies where patients in the hospital may check their own blood glucose, while allowing wireless access to results by health care professionals, may limit the direct contact and reduce risk of passing on the virus preserve PPE.
问:在允许患者使用家用血糖仪进行患者之前,可以考虑对Covid-19患者的医疗保健提供者考虑什么是什么?
A:In considering whether patients should to check their own blood glucose using home-use blood glucose meter, health care providers caring for COVID-19 patients will take into consideration the availability of other equipment in their hospitals to get timely and accurate blood glucose readings that can be easily transferred or logged into the patient’s medical record. Health care providers will also take into consideration whether the patient is well enough to properly conduct their own self testing and is comfortable with using a new type of home-use blood glucose meter, if one was provided by the hospital. While a patient may be used to getting blood glucose readings using their own meter, they may not be as successful using an unfamiliar model.
问:Covid-19糖尿病患者是否需要住院,将自己的血糖监测到医院?
A:Yes. Self-management of diabetes by a patient using their own devices, even in a hospital setting, is consistent with device labeling.
问:如果医院选择分配家用血糖表到患者,那么仪表可以用于多名患者吗?
A:不可以。标记的所有血糖计为“单身患者使用”,无论是医院向患者提供还是患者进入医院,患者只能被患者使用。标记为“仅用于单次患者使用”的血糖计可能在多个患者之间不得共享。这种限制是必要的,以防止个体之间的感染传播,因为这些类型的葡萄糖计不足以承受到一个以上患者使用它们所需的清洁和消毒以抵御所需的清洁和消毒。给予患者的任何家用血糖仪应由该患者带回家,或者当患者从医院排出时被处理。
Q: Can disinfectants be ingested as a preventive measure?
A:不,人们不应该消耗或滥用消毒剂。根据CDC,家用清洁剂和消毒剂在不正确使用时会导致健康问题。按照产品标签上的说明,以确保安全有效。
covid-19和工作
问:我和糖尿病一起生活。在大流行期间工作是安全的吗?
A:The answer depends on many factors related to both your health and your particular job. The type of work you do and whether you are able to reduce risk by things such as wearing PPE, working behind a plexiglass shield, working outside or staying far away from others will all factor into your risk of exposure. The ADA recommends that you consult with your diabetes care team to make your decision. For more information on your risk and your options, visit our工人常见问题. For employment resources including a sample physician letter requesting reasonable accommodations and a letter to employers, visit our了解您的权利:Covid-19page.
Q: I live with diabetes and I am afraid of getting seriously ill from COVID-19. What are my rights at work?
A:作为糖尿病的人,您在联邦法律下有几个权利。有关这些权利的更多信息,请访问我们的了解您的权利:Covid-19page.
问:什么是合理的住宿?
A:A reasonable accommodation is defined as any change to the application or hiring process, to the job, to the way the job is done or the work environment that allows a person with a disability who is qualified for the job to perform the essential functions of that job or enjoy equal employment opportunities. Reasonable accommodations, as the name implies, must be reasonable—which means they cannot pose an undue hardship on your employer. Learn more about reasonable accommodations in themanbetx客户端美国糖尿病协会合理的住宿概况表.
问:我合理住宿的选择是什么?
A:期权根据个人的工作职能而有所不同,可能会在流行过程中改变。对于糖尿病人要求的共同住宿的一些例子,请访问我们的工人常见问题.
Q: My job cannot be done with telework. Do I have any other options for reasonable accommodations?
A:如果您无法远程工作,您可以探索我们讨论的其他选项工人常见问题与您的雇主,并询问他们是否有任何其他建议的住宿建议。
在Covid-19中冒出冒险
问:企业已经开始在我的社区重新开放。这是否意味着外出是安全的?
A:As communities and businesses continue to open, many people are looking for ways to resume some daily activities while staying as safe as possible. While there is no way to completely eliminate the risk of infection, understanding the potential risks and prevention measures available will help you to protect yourself and reduce the spread of COVID-19.
活动的风险取决于许多因素,特别是对于那些患有严重疾病风险增加的因素。这些包括:
- Is COVID-19 spreading in your community?
- Will you have a potential close contact with someone who is sick or anyone who is not wearing a mask (and may be asymptomatic)?
- 你采取日常行动来保护自己免受covid-19吗?
In addition, risk levels vary dramatically depending on the specific activity and community. That’s why it’s important for you to consider your own personal situation and the risk for you, your family and your community before venturing out. The CDC provides additional guidance here.
问:在外出时是否有能力降低Covid-19的风险?
A:一般来说,你更紧密地与对方交流ers and the longer that interaction, the higher the risk of COVID-19 spread. Activities are safer if:
- 您可以在您与他人之间保持至少6英尺的空间。Covid-19在彼此6英尺处的人之间更容易蔓延。
- 它们携带在户外空间。室内空间较少的透气较少的风险更大,并且往往使别人留下更难。
- 人们正在戴着面具。一个或多个人没有佩戴面具的互动会产生增加的风险。
可以找到减少风险的其他指导here.
如果Covid-19在您的社区中蔓延,请采取额外措施,使您自己和其他人之间的距离进一步降低您暴露于这种新病毒的风险。尽可能留在家。