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Does Diabetes Increase the Risk of Contracting COVID-19? A Population-Based Study in Korea

BACKGROUND: This study aimed to determine the infection risk of coronavirus disease 2019 (COVID-19) in patients with diabetes (according to treatment method). METHODS: Claimed subjects to the Korean National Health Insurance claims database diagnosed with COVID-19 were included. Ten thousand sixty-n...

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Autores principales: Chun, Sung-Youn, Kim, Dong Wook, Lee, Sang Ah, Lee, Su Jung, Chang, Jung Hyun, Choi, Yoon Jung, Kim, Seong Woo, Song, Sun Ok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Diabetes Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7801768/
https://www.ncbi.nlm.nih.gov/pubmed/33389959
http://dx.doi.org/10.4093/dmj.2020.0199
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author Chun, Sung-Youn
Kim, Dong Wook
Lee, Sang Ah
Lee, Su Jung
Chang, Jung Hyun
Choi, Yoon Jung
Kim, Seong Woo
Song, Sun Ok
author_facet Chun, Sung-Youn
Kim, Dong Wook
Lee, Sang Ah
Lee, Su Jung
Chang, Jung Hyun
Choi, Yoon Jung
Kim, Seong Woo
Song, Sun Ok
author_sort Chun, Sung-Youn
collection PubMed
description BACKGROUND: This study aimed to determine the infection risk of coronavirus disease 2019 (COVID-19) in patients with diabetes (according to treatment method). METHODS: Claimed subjects to the Korean National Health Insurance claims database diagnosed with COVID-19 were included. Ten thousand sixty-nine patients with COVID-19 between January 28 and April 5, 2020, were included. Stratified random sampling of 1:5 was used to select the control group of COVID-19 patients. In total 50,587 subjects were selected as the control group. After deleting the missing values, 60,656 subjects were included. RESULTS: Adjusted odds ratio (OR) indicated that diabetic insulin users had a higher risk of COVID-19 than subjects without diabetes (OR, 1.25; 95% confidence interval [CI], 1.03 to 1.53; P=0.0278). In the subgroup analysis, infection risk was higher among diabetes male insulin users (OR, 1.42; 95% CI, 1.07 to 1.89), those between 40 and 59 years (OR, 1.66; 95% CI, 1.13 to 2.44). The infection risk was higher in diabetic insulin users with 2 to 4 years of morbidity (OR, 1.744; 95% CI, 1.003 to 3.044). CONCLUSION: Some diabetic patients with certain conditions would be associated with a higher risk of acquiring COVID-19, highlighting their need for special attention. Efforts are warranted to ensure that diabetic patients have minimal exposure to the virus. It is important to establish proactive care and screening tests for diabetic patients suspected with COVID-19 for timely disease diagnosis and management.
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spelling pubmed-78017682021-01-22 Does Diabetes Increase the Risk of Contracting COVID-19? A Population-Based Study in Korea Chun, Sung-Youn Kim, Dong Wook Lee, Sang Ah Lee, Su Jung Chang, Jung Hyun Choi, Yoon Jung Kim, Seong Woo Song, Sun Ok Diabetes Metab J Original Article BACKGROUND: This study aimed to determine the infection risk of coronavirus disease 2019 (COVID-19) in patients with diabetes (according to treatment method). METHODS: Claimed subjects to the Korean National Health Insurance claims database diagnosed with COVID-19 were included. Ten thousand sixty-nine patients with COVID-19 between January 28 and April 5, 2020, were included. Stratified random sampling of 1:5 was used to select the control group of COVID-19 patients. In total 50,587 subjects were selected as the control group. After deleting the missing values, 60,656 subjects were included. RESULTS: Adjusted odds ratio (OR) indicated that diabetic insulin users had a higher risk of COVID-19 than subjects without diabetes (OR, 1.25; 95% confidence interval [CI], 1.03 to 1.53; P=0.0278). In the subgroup analysis, infection risk was higher among diabetes male insulin users (OR, 1.42; 95% CI, 1.07 to 1.89), those between 40 and 59 years (OR, 1.66; 95% CI, 1.13 to 2.44). The infection risk was higher in diabetic insulin users with 2 to 4 years of morbidity (OR, 1.744; 95% CI, 1.003 to 3.044). CONCLUSION: Some diabetic patients with certain conditions would be associated with a higher risk of acquiring COVID-19, highlighting their need for special attention. Efforts are warranted to ensure that diabetic patients have minimal exposure to the virus. It is important to establish proactive care and screening tests for diabetic patients suspected with COVID-19 for timely disease diagnosis and management. Korean Diabetes Association 2020-12 2020-12-23 /pmc/articles/PMC7801768/ /pubmed/33389959 http://dx.doi.org/10.4093/dmj.2020.0199 Text en Copyright © 2020 Korean Diabetes Association https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Chun, Sung-Youn
Kim, Dong Wook
Lee, Sang Ah
Lee, Su Jung
Chang, Jung Hyun
Choi, Yoon Jung
Kim, Seong Woo
Song, Sun Ok
Does Diabetes Increase the Risk of Contracting COVID-19? A Population-Based Study in Korea
title Does Diabetes Increase the Risk of Contracting COVID-19? A Population-Based Study in Korea
title_full Does Diabetes Increase the Risk of Contracting COVID-19? A Population-Based Study in Korea
title_fullStr Does Diabetes Increase the Risk of Contracting COVID-19? A Population-Based Study in Korea
title_full_unstemmed Does Diabetes Increase the Risk of Contracting COVID-19? A Population-Based Study in Korea
title_short Does Diabetes Increase the Risk of Contracting COVID-19? A Population-Based Study in Korea
title_sort does diabetes increase the risk of contracting covid-19? a population-based study in korea
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7801768/
https://www.ncbi.nlm.nih.gov/pubmed/33389959
http://dx.doi.org/10.4093/dmj.2020.0199
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