TITLE:
Early Hyperglycemia in Diabetics as a Predictor of Disease Severity in COVID-19
AUTHORS:
Niaz Ahmed Shaikh, Arshee Khan, Asnin Shah, Rubina Inamdar, Rania Abusalma, Rafeh Jamal
KEYWORDS:
Admission Hyperglycemia, COVID-19, Diabetes, Disease Severity
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.12 No.12,
December
14,
2021
ABSTRACT: Background: Hyperglycemia is an important predictor of prolonged hospitalization and mortality. The objective of this study was to analyze the role of early hyperglycemia in predicting the severity of COVID-19 illness and mortality. Method: Retrospective study on 259 patients with COVID-19 with measurement of average glucose during 24 hours of admission. Association of Early Hyperglycemia categorized as 180 mg/dl; was studied with mortality, requirement of ICU stay and prognostic markers. Results: Early hyperglycemia (>180 mg/dl) revealed a higher median value for CRP (109 mg/l [IQR; 48 - 199]) in comparison to 180 mg/dl group; 24 (15.9%) vs 14 patients (13%) [p = 0.51] in the 180 mg/dl was 8 (5.3%) while Conclusion: Hyperglycemia in the first 24 hours may anticipate an increased risk of ICU stay and a higher mortality rate. It may be a possible predictor of disease severity.