新型冠状病毒肺炎疫情下老年糖尿病患者的管理

Management of elderly diabetic patients at the outbreak of novel coronary pneumonia

2019年底,新型冠状病毒肺炎(COVID-19)成为在中国广泛传播的疾病,研究表明重症患者多合并糖尿病,糖尿病患者为COVID-19的易感人群,而老年糖尿病患者感染后进展速度可能更严重,预后更差,因此疫情期间加强老年糖尿病患者的防护、心理疏导和综合管理,对提高免疫力,避免或减少感染,平稳控制血糖,减少因糖尿病控制不佳所致的急性并发症至关重要。为此本文从饮食、运动、规范治疗和监测血糖等方面综述了老年糖尿病患者的管理,以帮助患者了解血糖控制标准,做好各个方面,才能维持病情稳定。

At the end of 2019,a pulmonary epidemic caused by a novel coronavirus(coronavirus disease 2019,COVID-19),become a widespread disease in China.Evidence has shown that the severely infected patients are commonly complicated with diabetes mellitus,and the diabetic patients are susceptible to COVID-19 infection.Moreover,the elderly patients with diabetes may progress more rapidly and severely after infection,and get poorer prognosis.During the outbreak,we need to strengthen the protection and prevention,psychological counseling,and integrated management for the elderly diabetic patients.It is essential to enhance their immunity,prevent or reduce infection,control blood glucose,and reduce the acute complications caused by poorly controlled glucose.In this paper,we summarize the management of elderly diabetic patients from the aspects of diet,exercise,standardized treatment and blood glucose monitoring,so as to help the patients understand the glucose control standards and do a good job in all aspects to maintain the stability of the disease.