Cellulitis And Diabetes – Who Gets It And How To Treat It?

There is a direct link between cellulitis and diabetes. The disease of cellulitis will occur when the blood sugar level is not normal in your body. In fact, there will be a risk of all other infections as well when the body is having vascular system problems. Cellulitis is commonly found among those who are having any chronic disease.

Read on to know more about this disease visit https://gosugarbalance.com

What Is The Link Of Cellulitis And Diabetes?

It is a skin infection that appears on the legs and feet, mostly when you have improper functioning of the blood sugar level in your vascular system. Let’s get to know the diabetes cellulitis symptoms as well.

What Are The Symptoms Of Cellulitis?

There are plenty of cellulitis symptoms that include red streaking, swelling on the feet, warmth, and tenderness in the whole body, rashes, red sports, skin dimpling, and much more. Plus, you might have blisters with pus. In addition, you will have a fever, vomiting, nausea, and other common cold symptoms.

Who Gets Cellulitis?

Cellulitis is found among people who have diabetes, but it can attack those suffering from HIV, eczema, lupus, psoriasis, shingles, autoimmune diseases, and who take steroids. Most of the middle age people suffer from this issue, and it can get after swimming in an open pool or seawater. People who are suffering from hepatitis have higher chances of getting cellulitis infection.

What To Do If You Have Cellulitis And Diabetes?

You have to get the proper treatment. Most of the time, doctors recommend using oral antibiotics that include Advil or Motrin. Also, the doctors recommend resting and take the painkillers on time.

How Do I Prevent Cellulitis From Happening?

It is crucial to keep the skin and feet in the right condition to prevent cellulitis. For instance, you do not have to keep dry skin because it will cause skin issues in a minimal time. Moreover, you have to keep on checking if any area of your body is getting dry. You have to take the pressure tests, or you can go for the sensation tests.

Not only that, you have to be careful about the changes in your feet’ color. The cellulitis will occur if you are having any blisters, open skin, or any other issues. As well, you have to check the bottom of your feet to see if the condition is right or not. You have to wear the right shoes to keep your feet free from injuries.

It will be best if you wear supportive shoes. The shoes should have complete construction from natural products. Plus, it should not have plastic material because it can enhance the contraction of perspiration.

What Are The Other Measures To Prevent The Cellulitis?

If you start wearing socks every day to prevent dryness on the feet, it can cause other diseases’ risks. For instance, you will have a higher risk of fungus, bacteria absorption from the socks. Moreover, the socks with mixed fibers should include cotton or nylon material. For instance, you have to treat the cuts as soon as possible. Use the antibiotic ointment.

Similarly, the cuts should be kept open at night so they can dry. As well, you have to keep your feet highly protected. You have to wear shoes while gardening. It is vital to wear the right shoe type to prevent cellulitis development on your feet.

Other than that, you have to shower in warm water and wash the shoes often. You have to use the moisturizer of a good brand. As well, you have to choose the moisturizer that is made for dehydrated skin.

Not only that, you have to avoid artificial fragrances and colors. You have to trim the nails but do not cut them very short. The ingrown nails can cause fungus, and you have to take proper treatment for that by visiting a podiatrist.

Diabetes Medications To Treat Type 1 And 2 – A Whole List

Diabetes is a condition that can increase the blood glucose level in the whole body. Your body will stop producing insulin because the body will not be utilizing the sugar consumed by the food. Here we will talk in-depth about diabetes medications.

The insulin substance will be low in the whole body. Two kinds of diabetes can occur in your body. For instance, you will have type 1 or type 2 diabetes. No matter which type of diabetes you are dealing with, you have to keep the blood sugar level normal by taking the proper diabetes medication.

Besides, the diabetes type will define which type of drug you need. In this guide, you will know all about the diabetes medication that you can take. Continue reading!

What is the Diabetes Medications For Type 1?

Insulin

People who are suffering from type 1 diabetes have to take insulin. You have to take insulin because your body is not producing it. Further, you have to use the insulin with an injection, or you can choose other types of medications as well. The quantity of insulin will depend on how much the body has depletion of insulin in it.

Amylinomimetic Drug

Another drug that you can take for treating type 1 diabetes includes pramlintide. This drug is taken before eating any meal. It will be working to make the stomach feel fuller for a long time. It will be lowering the sugar level in your blood. Further, you can reduce your real appetite with this drug.

Diabetes Medications For Type 2

Above you saw the medication for type 1, but now we will elaborate on the drugs that are ideal for type 2 diabetes. However, type two diabetes would not help you to maintain your blood sugar levels.

For instance, you have to get rid of the high blood sugar levels with the right Diabetes Medications. You have to take oral drugs for type 2 diabetes. Moreover, there are some oral drug treatments for type two medications. Also, diabetes 2 people have to take insulin. Below are the best medicines for diabetes.

Alpha-Glucosidase Inhibitors

This kind of medication will be breaking down the starchy food from your whole body. In fact, the table sugar will be dissolved in your body to maintain blood sugar balance. Therefore, you can take the following drugs to lower your blood sugar level.

  1. Acarbose
  2. Miglitol

Biguanides

This drug will be reducing the sugar that is produced by the liver. You will have a lower level of sugar in your intestines, and your body will become highly sensitive to insulin and start absorbing the sugar in the muscles.

Besides that, biguanide is a common drug that many diabetes two people take. In fact, this drug will be combined with other types of drugs, and you will have the following drugs to choose from:

  • Metformin
  • Glumetza
  • Riomet
  • Fortamet
  • Hydrochloride ER
  • Glucophage

Dopamine Agonist

There is no clear definition of how will this drug work in your body, but there are high chances that it will affect the sugar to be stored in your whole body. Also, it will make the body start producing insulin.

Dipeptidyl Peptidase-4 (DPP-4) Inhibitors

It is another good drug that helps the body to produce insulin. Moreover, you can take this drug to lower the sugar levels in your blood. You can take the following medicines to reduce blood glucose levels.

  • Alogliptin – Nesina
  • Linagliptin – Tradjenta
  • Alogliptin – Oseni
  • Alogliptin – Kazano

GLP-1 Receptor Agonists

The drug will start increasing the growth of B-cell in your body, and you will have higher insulin levels after consuming it every day. Also, you will have decreased appetite with this drug and maintain the glucose in the whole body. You will have less hunger because it will slow digestion.

Further, there are some drugs that you should take. Also, you will have a lower risk of developing other chronic diseases that include heart failure, kidney disease, and other cardiovascular diseases.

You can take the following drugs:

  • Albiglutide
  • Exenatide
  • Dulaglutide
  • Exenatide
  • Liraglutide
  • Semaglutide

Meglitinides

This medication will be increasing the insulin levels in your whole body. Also, you will have lower blood sugar levels. However, you cannot consider it as a generic diabetic medication.

  • Nateglinide
  • Repaglinide – Prandimet
  • Repaglinide – Prandin

Sodium-Glucose Transporter Inhibitors (SGLT) 2

It works by preventing the kidneys from storing glucose. You will have the best option to get rid of the blood glucose levels in your urine. Also, you will have the best treatment to lower heart failure, cardiovascular diseases, and other chronic diseases.

Sulfonylureas

Sulfonylurea is an old drug to treat diabetes 2. It works to stimulate the cells in your pancreas. It will help the body to increase insulin levels.

Thiazolidinediones

It will be decreasing the glucose in the liver, and you will have a reduction of the fat cells in your whole body. As well, the drugs will reduce the risk of heart disease. You will have the best way to reduce the high glucose levels.

Other Medications

People who suffer from type 1 or type 2 diabetes will need to take the correct drugs. For instance, the drugs include the following:

  1. Drugs to control the high cholesterol levels
  2. Aspirin for maintaining the health of the heart
  3. Medicines to handle the high blood pressure

Talk To Your Doctor

You can talk to your doctor before taking any medicine for type 1 or type 2 diabetes. Also, you have to check the ways to control the glucose level in your blood. Take the suggestions from your doctor about how you can control the sugar level and which drug is ideal for you. Likewise, you have to consider other factors such as overall health before taking any medicine.

Diabetes Symbol – Difference Between Diabetes Type 1 And 2

There is confusion about what is precisely the diabetes symbol. Moreover, many people ask if the symbol for diabetes type 1 or 2 is the same or not? Well, we are going to tell you all about diabetes and its types here. So read on!

What is the Diabetes Symbol?

The United Nations created the diabetes symbol in 2006, and it is a blue circle. Before 2006 there was no universal symbol of diabetes. Most of the people were using a grey color ribbon to represent diabetes.

Plus, people also attach to the shirt as the pink cancer ribbon. Therefore, the united nations thought to create a right and unique sign for diabetes.

Besides, the grey ribbon has a red blood drop. A few years later, the American Diabetes Association started using the red ribbon symbol to represent diabetes. Thus, it became necessary to create a symbol of diabetes that would be universal.

Therefore, Karo Rosenfeld and Clare made the symbol of diabetes that had a blue circle with the red blood drop inside it.

But Why Does Blue Color Circle Represent Diabetes All Over The World?

The blue color represents diabetes because it is one of the bright colours of the United Nations flag. Moreover, the symbol indicates health, mother earth, and symbolizes life as well. In fact, the symbol indicated the complete unity of the global diabetes community.

The release of diabetes symbol date is 20th December 2006. It was shown to the public on world diabetes day.

Are People Aware Of The Diabetes Ribbon Symbol?

No, many people were not aware of the symbol of diabetes. Even the diabetes symbol had a grey colour. But now the symbol shows the blue and grey circle, which is now quite popular.

What Is the TheVariance Between Type 1 And 2 Of The Diabetes?

There is a huge difference between type 1 and type 2 diabetes that many people do not know. A circle of blue colour represents both types of diabetes medical symbols.

Is There Any Diabetes Awareness Tattoo?

The awareness of the diabetes symbol is spreading awareness quite rapidly. Also, you will see that there are tattoos of the insulin pumps. Moreover, you will have the tattoos with the blue circle with the red blood drop or grey colour ribbon. Though still there are various people worldwide who do not know about the diabetes symbol.

Is There Any Other Diabetes Symbol?

No, there is no other type of diabetes symbol other than the grey and blue ribbon. You will see the symbol of diabetes with the dotted teardrop, and you will see that children with diabetes have a yellow smiley face.

Beets And Diabetes – Is This Vegetable An Antioxidant?

Do you know beets are a superfood because they contain excessive nutrients and several antioxidant properties? You can link the beets and diabetes because it will be helping a diabetic person in quite a lot of ways to maintain the blood sugar levels and right insulin production.

The beetroot is a superfood that comes in red and purple color with a wide amount of amazing ingredients. As well, you will have several benefits of taking beets. It can cure constipation and the common cold.

In fact, the beetroot contains a high amount of potassium and folates that will be helping diabetic people. So if you are thinking, are beets good for a person with diabetes, then the answer is yes!

Link of Beets And Diabetes

There is a connection between beets and diabetes that you will know after reading this guide till the end!

What’s So Good About Beets?

Beets are incredibly beneficial for several people because it contains the powerful antioxidant properties. As well, there are several health benefits of beets. You will know why you need to take beets in your diet if you have diabetes.

1.    Lower Blood Sugar And Insulin

It will be lowering the blood sugar levels, and you will have normal production of insulin in the whole body as well. You will have the best way to regulate the glucose levels in the whole body. You just have to drink less than a half cup of beetroot to maintain the sugar level and insulin production in your body.

2.    Lower Risk Of Chronic Disease

The beetroot will be lowering the risk of chronic diseases. As well, you will have the best option to prevent the diseases that arrive from oxidative stress. For instance, you will have lower chances of heart diseases and cancer.

Further, you can take 3.5 oz. of beet every day to reduce the risk of chronic diseases in your body. As well, you will have the reddish color of the beets that will be helpful in curing other minor diseases in your body.

3.    Lower Risk Of Diabetes Complications

You will have a lower risk of diabetes complications. Do you know diabetes can damage the blood vessels, and it can cause chronic issues in your heart, eyes, kidneys, or other body parts? There are many antioxidants found in the beets that will help the human body to deal the chronic diseases.

  • Cardiovascular disease
  • Kidney disease
  • Retinopathy
  • Neuropathy
  • Cellulitis and other food diabetic diseases

4.    Lower Blood Pressure

The beetroot will be lowering the blood pressure. You will have the best option to reduce hypertension, and it will be simply possible by drinking one cup of beetroot juice. You can even mix any other fruit or vegetable in your smoothie with beetroot for the best taste, and it will eventually lower the blood pressure.

According to research, you will have the positive side effects of drinking beetroot juice. It will be improving the blood flow in the whole body.

Are There Any Dangers To Eat Beetroot If You Have Diabetes?

No, there is no danger to eat beetroot if you have diabetes. Additionally, you will have one only drawback if you are allergic to beetroot, which is beeturia. This disease will make the color of your urine darker.

Though it is not harmful at all, you will have the beets with the red and purple color, and the color will go away from your urine after some time on its own.

How To Add Beets To Your Diet?

You can simply add beets to your diet in numerous ways. For instance, you can use beets to enhance the colors, flavor, crunch, and much more in your meals and diet. As well, you will have an amazing option to add the beets to your salads, smoothies, stews, and casseroles.

Further, you will have the best iron-rich ingredient that you can consume as spinach or kale. Moreover, you have to add 2 inches of the beetroot to provide you 8 grams of carbs. Below you will know how to include beets in your meals or drinks.

  • You can cut the slices of the beets, or you can add the shave ribbons of beets to add in your salads for the best crunch and color.
  • Add beetroot to your meals by steaming the vegetables and making a snack or side dish for the afternoon.
  • You can add the beets to your meal by roasting them in the oven. For instance, you will have the simplest option to use them with breakfast or salads.
  • You can make the juice of beets as well. For instance, you can experiment with the other veggies and make a fantastic smoothie. Or you can add the fruits like apples or carrots as well.

You should definitely try any of these recipes and add them to your diet to make your body healthy. Further, you can add the fresh beetroot with any green leaves. You will have the beets as the most smooth texture and bright purplish-red color.

In fact, you can keep the beets in the fridge for a few hours. Even if you have added the beets to your drink, it will have the same taste.

The Bottom Line about Beets And Diabetes

Beets have several amazing properties. For instance, it is highly rich in antioxidants and comes with a high amount of nutrients. As well, it will provide the most health-proven benefits to every person who will eat it. This will be providing you more help if you are a diabetic person. It will be lowering the complications in your diabetes.

Moreover, you will have the benefits of treating eye issues or any other nerve damages. Best of all, beetroot is incredibly versatile, delicious, and easy to add to any meal.

What are the early signs of type 2 diabetes?

Type 2 diabetes makes a person’s blood sugar levels too high. Recognizing the early signs and symptoms of this chronic condition can lead to a person receiving treatment earlier, reducing the risk of serious complications.

Type 2 diabetes is a common condition. A 2017 report from a trusted source from the Centers for Disease Control and Prevention (CDC) found that 30.3 million adults in the United States have diabetes. The report also estimated that another 84.1 million American adults have prediabetes.

People with prediabetes have higher-than-normal blood sugar levels, but doctors still don’t think they have diabetes. According to CDCTrusted Source, people with prediabetes often develop type 2 diabetes within 5 years if they do not receive treatment.

The onset of type 2 diabetes can be gradual, and symptoms can be mild during the early stages. As a result, many people may not even realize they have this condition.

In this article, we look at the early signs and symptoms of type 2 diabetes and the importance of early diagnosis. We also discuss the risk factors for developing this condition.

Early signs and symptoms

The early signs and symptoms of type 2 diabetes may include:

1. Frequent urination

When blood sugar levels are high, the kidneys try to remove excess sugar by filtering it out of the blood. This can cause a person to need to urinate more often, especially at night.

2. Increased thirst

The frequent urination that is necessary to remove excess sugar from the blood can cause the body to lose extra water. Over time, this can cause dehydration and make the person more thirsty than usual.

3. Always feeling hungry

People with diabetes often do not get enough energy from the food they eat.

The digestive system breaks food down into a simple sugar called glucose, which the body uses for fuel. In people with diabetes, not enough glucose moves from the bloodstream to the cells of the body.

As a result, people with type 2 diabetes often feel constantly hungry, no matter how recently they ate.

4. Feeling very tired

Type 2 diabetes can affect a person’s energy levels and make them feel very tired or fatigued. This tiredness occurs as a result of insufficient amounts of sugar passing from the bloodstream to the cells of the body.

5. Blurred vision

Too much sugar in the blood can damage the tiny blood vessels in the eyes, which can cause blurred vision. This blurred vision can occur in one or both eyes and can come and go.

If a person with diabetes is not treated, the damage to these blood vessels can become more severe and permanent vision loss can eventually occur.

6. Slow healing of cuts and wounds.

High blood sugar levels can damage the body’s nerves and blood vessels, which can affect blood circulation. As a result, even small cuts and wounds can take weeks or months to heal. Slow wound healing also increases the risk of infection.

7. Tingling, numbness, or pain in the hands or feet

High blood sugar levels can affect blood circulation and damage the body’s nerves. In people with type 2 diabetes, this can cause pain or a tingling or numbness in the hands and feet.

This condition is known as neuropathy, and it can get worse over time and lead to more serious complications if a person does not receive treatment for their diabetes.

8. Dark skin spots

Dark skin patches that form in the folds of the neck, armpit, or groin can also mean an increased risk of diabetes. These patches can feel very soft and velvety.

This skin condition is known as acanthosis nigricans.

9. Yeast infections and itching

Excess sugar in the blood and urine provides food for the yeast, which can lead to an infection. Yeast infections tend to occur in warm, moist areas of the skin, such as the mouth, genital areas, and armpits.

The affected areas are usually itchy, but a person may also experience burning, redness, and pain.

Importance of early diagnosis

Recognizing the early signs of type 2 diabetes can allow a person to get an earlier diagnosis and treatment. Getting the right treatment, making lifestyle changes, and controlling blood sugar levels can greatly improve a person’s health and quality of life and reduce the risk of complications.

Without treatment, persistently high blood sugar levels can lead to serious and sometimes life-threatening complications, including:

  • heart disease
  • race
  • nerve damage or neuropathy
  • foot problems
  • kidney disease, which can cause a person to need dialysis
  • eye disease or vision loss
  • sexual problems in both men and women

Untreated diabetes can also lead to hyperosmolar nonketotic hyperglycemic syndrome (HHNS), which causes a severe and persistent rise in blood sugar levels. An illness or infection will usually trigger HHNS, which may require hospitalization. This sudden complication tends to affect older people.

Keeping blood sugar levels under control is essential to prevent some of these complications. The longer blood sugar levels remain uncontrolled, the greater the risk of other health problems.

Risk factors for type 2 diabetes

Anyone can develop type 2 diabetes, but certain factors can increase a person’s risk. These risk factors include:

  • be 45 years or older
  • living a sedentary lifestyle
  • being overweight or obese
  • eating an unhealthy diet
  • having a family history of diabetes
  • having polycystic ovary syndrome (PCOS)
  • have a medical history of gestational diabetes, heart disease, or stroke
  • have prediabetes
  • be of African American, Alaska Native, Hispanic / Latino, American Indian, Asian American, Native Hawaiian, or Pacific Islander descent

Takeaway

Type 2 diabetes is a common condition that causes high blood sugar levels. Early signs and symptoms may include frequent urination, increased thirst, feeling tired and hungry, vision problems, slow wound healing, and yeast infections.

Anyone experiencing possible signs and symptoms of diabetes should see a doctor for an evaluation, especially if they have other risk factors for developing this condition. Early detection and treatment of type 2 diabetes can improve a person’s quality of life and reduce the risk of serious complications.

Having a support system that understands what it is like to be diagnosed and living with type 2 diabetes is vital. T2D Healthline is a free app that provides support through live one-on-one conversations and group discussions with the people who get it. Download the app for iPhone or Android.

Why is my urine foamy?

Foamy urine can often result from having a rapid urine stream. However, a variety of medical conditions can also have this effect.

Urine is usually flat but can appear foamy under certain circumstances. Causes of foamy urine range from the need to urinate forcefully to dehydration. It can also be a symptom of kidney disease.

If a person notices foamy urine frequently, or if foamy urine accompanies other symptoms, they should speak to a doctor.

This article will look at the causes of foamy urine and some of the treatment options available for each condition.

Causes

If a person releases a lot of urine at once, especially quickly or forcefully, the urine may appear foamy. Speed ​​can cause temporary bubbling. Organic compounds called surfactants can also cause bubbles, a research source suggests.

Surfactants diffuse into water and contain hydrophilic and hydrophobic ends. This means that they can help trap pockets of gas on the surface of a liquid, creating bubbles.

The soap contains these surfactants. Because of this, the presence of soap or other cleaning products in toilet water can also cause a person’s urine to bubble.

However, various medical conditions can also cause foamy or bubbly urine. The following sections will discuss some of these conditions in more detail.

Dehydration

If a person is dehydrated, their urine may appear darker and more concentrated than usual. This is because they do not drink enough clear liquids to dilute the other substances, such as protein, in their urine.

Proteins have surfactant properties and, when present in large amounts, can cause urine to foam on passing, according to a 2019 review.

If a person experiences foamy urine regularly, even when fully hydrated, it can be a symptom of proteinuria (protein in the urine). This can be an early symptom of kidney disease.

Nephropathy

A vital function of the kidneys is to filter proteins in the blood. These proteins perform essential functions in the body, such as maintaining a fluid balance.

If a person has kidney damage or disease, protein can leak from the kidneys into the urine, some tests suggest.

Albumin is a protein present in the blood. A fully functional kidney does not allow large amounts of this protein to pass into a person’s urine, whereas a damaged kidney can.

The presence of albumin in the urine is called albuminuria or sometimes proteinuria, according to the National Institute of Diabetes and Digestive and Kidney Diseases.

If a person’s urine is persistently foamy, it may indicate proteinuria. This can be an early symptom of kidney disease.

Some other symptoms of kidney disease can include:

  • skin itch
  • nausea
  • difficulty breathing
  • swelling
  • unexplained fatigue
  • frequent urination
  • throwing up
  • If a person has these symptoms and a family history of kidney disease, high blood pressure, or diabetes, they should contact a doctor for a test.

Diabetes

Medical guidance states that diabetes and other causes of high blood sugar can result in higher levels of albumin passing through the kidneys. This can result in foamy urine.

Diabetic nephropathy is a complication associated with type 2 diabetes. It is due to changes in the structure and formation of the kidneys.

Some research suggests that damage to the kidney’s microvascular (small blood vessels) and filtration systems due to diabetic nephropathy may allow proteins to pass into the urine more freely. This can result in proteinuria and therefore foamy urine.

Treatment

Treatment options for foamy urine depend on the underlying cause.

If a person is dehydrated, they should drink more clear liquids until the urine is pale yellow or almost clear.

If diabetes is the underlying cause, a doctor may prescribe oral medications or insulin injections to lower blood sugar levels. Also, a person may need to check their blood sugar levels regularly to make sure they are within an acceptable range.

Doctors can prescribe medications for people with early kidney disease. They may also recommend making positive lifestyle changes, such as:

  • eating a healthy, low-sodium diet
  • control high blood pressure
  • control blood sugar levels
  • exercise regularly
  • No Smoking

People with severe kidney disease or kidneys that are not working may require dialysis. This is a procedure that cleanses the blood of excess waste.

Summary

If a person has foamy urine, you should first consider the most likely causes. These include urinating with a strong stream, being dehydrated, and shaving soap or another cleaning product in the toilet bowl.

However, if the foamy urine accompanies other symptoms or recurs, the person should contact a doctor for further evaluation.

Everything You Need to Know About Diabetes

Diabetes types

Diabetes mellitus, commonly called diabetes, is a metabolic disorder that causes high blood glucose. The hormone insulin moves glucose from the blood into the cells to be saved or used for energy. With diabetes, your body either does not produce enough insulin or can not efficiently use the insulin it does make.

Untreated high blood sugar can damage your nerves, kidneys, eyes, and other organs.

There are a Couple of Distinct Kinds of diabetes:

  • Type 1 diabetes is an autoimmune disorder. It is uncertain what causes this assault. Approximately 10% of individuals with diabetes have this type.
  • Type two diabetes happens when your body becomes more immune to insulin, and glucose builds up in the blood.
    Prediabetes happens when your blood glucose is greater than normal, but it is not high enough for a diagnosis of type 2 diabetes.
  • Gestational diabetes is elevated blood glucose during pregnancy. Insulin-blocking hormones made by the placenta trigger this kind of diabetes.

A rare illness known as diabetes insipidus isn’t associated with diabetes mellitus, though it has a name. It is another condition where your kidneys eliminate an excessive amount of fluid out of the human body.

Every kind of diabetes has special symptoms, triggers, and remedies. Find out more about these kinds differ from one another.

Symptoms of diabetes

Diabetes symptoms are brought on by increasing blood glucose.

The typical symptoms of diabetes include:

  • Increased appetite
  • increased thirst
  • Weight Reduction
  • regular urination
  • blurry vision
  • intense fatigue
  • sores that don’t cure

Symptoms in men

Along with the overall indicators of diabetes, guys with diabetes might have a diminished sexual drive, erectile dysfunction (ED), and inadequate muscle power.

Symptoms in girls

Girls with diabetes may also have symptoms like urinary tract ailments, yeast infections, and dry, itchy skin.

Symptoms of type 1 diabetes may comprise:

  • Intense appetite
  • increased thirst
  • accidental weight loss
  • regular urination
  • blurry vision
  • fatigue

It might also cause mood changes.

Type 1 diabetes

Symptoms of type 2 diabetes may comprise:

  • Increased appetite
  • increased thirst
  • increased bleeding
  • blurry vision
  • fatigue

sores that are slow to cure

Type 2 diabetes

It might also bring about recurring infections. That is because elevated glucose levels make it more difficult for your body to cure.

Most women with gestational diabetes do not have any signs. The status is often detected during a routine blood glucose test or oral glucose tolerance test that’s normally conducted between the 24th and 28th weeks of gestation.

In rare situations, a woman with gestational diabetes may also experience increased thirst or urination.
The Most Important Thing

Diabetes symptoms may be so mild they’re tough to spot at first. Figure out which signs should prompt a visit to the physician.
Reasons For diabetes

Various causes are related to every kind of diabetes.

Doctors do not know just what causes type 1 diabetes.

Genes may play a part in some individuals. Additionally, a virus may put off the immune system’s assault.

Type two diabetes stems from a blend of genetics and lifestyle variables. Being obese or fat raises your risk also. Carrying extra weight, particularly on your gut, makes your cells more resistant to the effects of insulin on your own blood glucose.

This illness runs in families. Family members discuss genes that make them more likely to get type 2 diabetes and also to be obese.

Gestational diabetes

Gestational diabetes is the result of hormonal changes during pregnancy. The placenta produces hormones that produce a pregnant female’s cells sensitive to the effects of insulin. This may result in high blood glucose during pregnancy.

Girls that are obese when they get pregnant or who gain an excessive amount of weight during their maternity are more inclined to become gestational diabetes.
The Most Important Thing

The bottom line

Both genes and environmental factors play a part in activating diabetes. Get more info here on the causes of diabetes.

Diabetes risk factors

You are more likely to get type 1 diabetes in case you are a kid or adolescent, you’ve got a sibling or parent with the illness, or you take certain genes which are related to the disease.

Type 1 diabetes

Your loved ones, surroundings, and preexisting health conditions can affect your likelihood of developing diabetes. Learn which dangers you can command and which ones you can not.

High blood glucose damages organs and cells throughout the entire body.

Uncontrolled gestational diabetes may cause problems that impact both mother and infant. Complications affecting the infant can comprise:

The mom can develop complications like hypertension (preeclampsia) or type 2 diabetes. She might also need cesarean delivery, commonly known as a C-section.

Diabetes complications

Diabetes can result in serious medical issues, but you can deal with the condition with drugs and lifestyle modifications. Prevent the most common diabetes issues with these tips.

Doctors cure diabetes with a couple of distinct medications. A number of the drugs are accepted by mouth, while some are accessible as injections.

Insulin is the major cure for type 1 diabetes. It replenishes the hormone that your body is not able to create.

Four kinds of insulin are most frequently utilized. They are distinguished by how fast they Begin to operate, and how long their effects continue:
Short-acting insulin begins to work within thirty minutes and lasts 6 to 8 hours daily.
Intermediate-acting insulin begins to operate within 1 to two hours and lasts 12 to 18 hours.
Long-acting insulin begins to work a couple of hours after injection and lasts 24 hours or more.

Diet and exercise help some folks handle type 2 diabetes. If lifestyle changes are not sufficient to decrease your blood glucose, you will want to take drugs.

These medications lower your blood glucose in Many Different ways:

You might have to take multiple of those medications.

You will want to track your blood glucose level many times every day when pregnant. When it’s high, dietary modifications and exercise may or might not be sufficient to bring down it.

According to the Mayo Clinic, roughly 10 to 20 percent of women with gestational diabetes may need insulin to reduce their blood glucose. Insulin is secure for your developing infant.
The Most Important Thing

The drug or mixture of drugs your doctor prescribes will depend on the kind of diabetes you’ve got — and its own origin. Have a look at this listing of the several medications which are readily available to deal with diabetes.

Healthful eating is a fundamental part of managing diabetes. Sometimes, altering your diet might be sufficient to control the illness.

Your blood glucose level rises or falls depending on the kinds of foods you consume. Starchy or sugary foods create blood glucose levels to increase rapidly. Protein and fat trigger more slow increases.

Your healthcare team may advise that you restrict the number of carbs you consume every day. You will also have to equilibrium your carbohydrate intake with your insulin levels.

Work with a dietitian who will help you look for a diabetes meal plan. Finding the correct balance of fat, protein, and carbohydrates can help you control your blood glucose. Take a look at this guide to beginning type 1 diabetes.
Type Two diabetes

Eating the ideal kinds of foods may control your blood sugar and allow you to eliminate any extra weight.

Carb counting is also a significant part of ingestion for type two diabetes. A dietitian can help you work out how many grams of carbs to consume at every meal.

To be able to maintain your glucose steady, try to eat modest meals during the day. Emphasize healthful foods for example:

Fruits
veggies
entire grains
lean protein like poultry and fish
healthful fats like olive oil and nuts

Certain other foods may undermine attempts to maintain your blood glucose in control. Discover the foods that you should avoid if you’ve got diabetes.

Eating a well-balanced diet is very important for both you and your infant during these nine weeks. Making the proper food choices can also help you avoid diabetes medicines.

See your portion sizes, and limit salty or sugary foods. Although you want some sugar to nourish your growing infant, you should avoid eating too much.

Think about making an eating strategy with the assistance of a dietitian or nutritionist. They will make sure your diet has the ideal mixture of macronutrients. Proceed here for additional do’s and don’ts for healthier eating with gestational diabetes.
Diabetes investigation

Anybody who has symptoms of diabetes is at risk for the disease ought to be tested.

Doctors use such blood examinations to diagnose prediabetes and diabetes:
The A1C evaluation provides a snapshot of your glucose levels within the past 3 weeks.

Throughout the glucose challenge test, your blood glucose is assessed an hour after you drink a carbonated liquid.
Throughout the three-hour sugar tolerance test, your blood glucose is assessed after you quickly overnight and drink a carbonated liquid.

Type 1 diabetes is not preventable as it’s brought on by a problem with the immune system. Some causes of type 2 diabetes, like your age or genes, are not under your control.

Most diabetes prevention plans demand creating simple adjustments to your daily diet and fitness regimen.

Get at least 150 minutes a week of aerobic workouts, like walking or biking.
Cut saturated in and trans fat fats, together with refined carbohydrates out of your diet plan.
Consume more veggies vegetables, fruits, and whole grains.
Eat smaller parts.
Attempt to eliminate 7 percent trusted Source your own bodyweight if you are overweight or fat.

These are not the only ways to avoid diabetes. Discover more approaches that might help you stay away from this chronic illness.

Women who have never had diabetes may unexpectedly develop gestational diabetes.

Some girls who had diabetes until they guessed carry it together. This can be known as pre-gestational diabetes.

Gestational diabetes should go away once you send it, but it will significantly increase your risk of having diabetes later.

Getting diabetes during your pregnancy may also result in complications to your furry friend, like jaundice or breathing difficulties.

If you are diagnosed with pre-gestational or gestational diabetes, you’re going to want special observation to prevent complications. Find more information about the impact of diabetes.

Controlling blood glucose is particularly important in young men and women since the illness can harm important organs like the kidneys and heart.

The autoimmune form of diabetes frequently starts in childhood. Among the key symptoms is increased bleeding. Children with type 1 diabetes can begin wetting the bed once they have been toilet trained.

Intense thirst, fatigue, and appetite will also be indications of the status. Kids with type 1 diabetes must be treated straight away. The disorder can cause elevated blood glucose and dehydration, which are medical crises.
Type Two diabetes

Type 1 diabetes was known as”juvenile diabetes” since type 2 was rare in kids. Now that more kids are overweight or obese, type two diabetes is getting more common within this age category.

Approximately 40 percent of kids who have type 2 diabetes do not have symptoms, according to the Mayo Clinic. The disorder can be diagnosed through a physical examination.

Untreated type two diabetes may lead to lifelong complications, such as heart disease, kidney disease, and blindness.

Type 2 diabetes is much more prevalent than in young men and women. Learn to identify the signals so that you may report them to your child’s physician.

Some kinds of diabetes like kind 1 — are brought on by factors that are out of your hands. Others — such as type 2 — may be avoided with better food choices, increased activity, and weight reduction.

Discuss possible diabetes risks with your physician. If you are in danger, have your blood sugar tested and follow your physician’s advice for managing your blood glucose.

Diabetes Symptoms How insulin works

Diabetes mellitus identifies a set of diseases that affect the way your body uses blood sugar (glucose). Glucose is critical to your health since it’s a significant source of energy for the cells which make up your muscles and cells. Additionally, it is that your brain’s most important source of gas.

The root cause of diabetes varies by kind. However, regardless of which kind of diabetes you have, it may result in excessive sugar in your blood. Too much sugar in your bloodstream may result in serious health issues.

Chronic diabetes ailments contain Type 1 diabetes and type 2 diabetes. Potentially reversible diabetes ailments include prediabetes and gestational diabetes. Prediabetes happens when your glucose levels are greater than normal, but not large enough to be classified as diabetes. And prediabetes is frequently the precursor of diabetes unless proper measures are required to stop development. Gestational diabetes occurs during pregnancy but may solve after the baby is delivered for read more https://gosugarbalance.com.

Symptoms

Diabetes symptoms vary based on how much your blood glucose is raised. Some folks, particularly people who have prediabetes or type 2 diabetes, might occasionally not experience symptoms. In type 1 diabetes, symptoms often come on fast and are more serious.

A Few of the symptoms and signs of type 1 diabetes and type 2 diabetes are:

  • Increased appetite
  • Regular urination
  • Intense appetite
  • Encourages weight loss
  • Presence of ketones in the urine (ketones are a portion of the breakdown of fat and muscle which occurs when there’s insufficient accessible insulin)
  • Infection
  • Irritability
  • Blurred vision
  • Slow-healing sores
  • Regular infections, like skin or gums diseases and vaginal infections

Type 1 diabetes can develop at any age, even though it frequently appears during childhood or adolescence. Type 2 diabetes, the more common form, may develop at any age, even though it’s more common in people older than 40.
When to see a physician

Should you suspect your child might have diabetes. If you observe any potential diabetes symptoms, speak to your health care provider.
In case you have been diagnosed with diabetes. Once you get your diagnosis, you’re going to want close medical follow-up before your glucose levels stabilize.

Causes

To understand diabetes, first, you have to understand how sugar is normally processed within the body.

Insulin is a hormone that comes from a receptor located behind and beneath the gut (pancreas).

The pancreas secretes insulin into the bloodstream.
The insulin circulates, allowing sugar to get into your cells.
Insulin lowers the quantity of sugar in your blood.
As your blood glucose level drops, so will the secretion of insulin from the pancreas.

The Use of sugar

Glucose — sugar is a source of energy for the cells which make up muscles and other cells.

Glucose comes from two big sources: food as well as your liver.
Sugar is absorbed into the blood, where it passes cells with the support of insulin.
Your liver stores and creates sugar.
As soon as your sugar levels are reduced, like when you have not eaten in some time, the liver breaks down stored glycogen to glucose to maintain your sugar level within a normal selection.

Reasons For type 1 diabetes

The precise cause of type 1 diabetes is unknown. What’s understood is that your immune system — which generally fights dangerous bacteria or germs — strikes and destroys the human insulin-producing cells from the pancreas. This leaves you with very little if any insulin. Rather than being hauled to your cells, sugar accumulates in your blood.

Type 1 is considered to be brought on by a combination of genetic susceptibility and environmental aspects, though those variables remain unclear. Weight isn’t considered to be an element in type 1 diabetes.
Reasons For prediabetes and type 2 diabetes

In prediabetes — which may result in type 2 diabetes and type 2 diabetes, your cells become resistant to the activity of insulin, and your pancreas is not able to create enough insulin to overcome this resistance. Rather than moving to your cells where it is required for sugar accumulates in your blood.

Why this occurs is unclear, though it’s believed that environmental and genetic factors play a part in the evolution of type 2 diabetes also. Being obese is firmly connected to the evolution of type 2 diabetes, but not everybody with type two is obese.

Reasons For gestational diabetes

Normally, your pancreas reacts by producing enough additional insulin to overcome this resistance. But occasionally your pancreas can not keep up. While this occurs, too little sugar gets to your cells, and also much remains in your bloodstream, leading to gestational diabetes.

Risk factors

Risk factors for diabetes are contingent on the kind of diabetes.

Even Though the Precise cause of type 1 diabetes is unknown, factors that can suggest an increased risk include:
You are risk increases if a sibling or parent has type 1 diabetes.
Safety Things. Circumstances like exposure to a viral disease likely play a role in type 1 diabetes.
The existence of immune system tissues (autoantibodies). Sometimes relatives of individuals with type 1 diabetes have been analyzed for the presence of diabetes autoantibodies. In case you’ve got these autoantibodies, you have a higher chance of developing type 1 diabetes. However, not everybody with these autoantibodies develops diabetes. Certain states, such as Finland and Sweden, have high rates of type 1 diabetes.

Researchers do not fully know why some people today develop prediabetes and type 2 diabetes and many others do not. It is Apparent that certain factors increase the danger, however, such as:
The fatty tissue you have, the more immune the cells turn into insulin. The less active you’re, the higher your risk. Physical activity can help you control your fat, consume glucose as energy also makes your cells more sensitive to insulin. You’re risk increases if a sibling or parent has type 2 diabetes. Though it’s uncertain why, certain individuals — such as Black, Hispanic, American Indian, and Asian American individuals — are at greater risk. This might be because you usually exercise less, eliminate muscle mass and gain weight as you get older. But type 2 diabetes is also increasing among children, teens, and younger adults. If you developed gestational diabetes when you’re pregnant, then your own risk of developing prediabetes and type 2 diabetes raises. If you gave birth to a baby weighing greater than 9 pounds (4 kilograms), you are also at risk of type 2 diabetes. For ladies, having polycystic ovary syndrome — a frequent condition characterized by irregular menstrual periods, excessive hair growth, and obesity — raises the risk of diabetes.

Irregular cholesterol and cholesterol levels. In case you’ve got low levels of high-density lipoprotein (HDL), or”good,” cholesterol, your risk of type two diabetes is greater. Triglycerides are another kind of fat carried in the blood circulation. Individuals with elevated levels of triglycerides have an elevated risk of type 2 diabetes. Your physician can allow you to know what your cholesterol and cholesterol levels are.

Pregnant girls can develop gestational diabetes. Some girls are at higher risk than others.
Girls older than age 25 are at greater risk. You are risk increases if you have prediabetes — a precursor to type 2 diabetes or if a close relative, like a sibling or parent, has type 2 diabetes. You are also at higher risk if you had gestational diabetes during a prior pregnancy, even if you delivered an extremely big baby or if you had an unexplained stillbirth. Being obese before pregnancy increases your risk. For reasons which are not clear, Hispanic women, Black, American Indian, or Asian American are more likely to develop gestational diabetes.

The more you have diabetes and the controlled your blood glucose — the greater the probability of complications. Finally, diabetes complications could be disabling or may be life-threatening. Potential complications include:
In case you have diabetes, then you are more likely to get a cardiovascular disease or stroke.

Excessive sugar may harm the walls of their small blood vessels (capillaries) that nourish your nerves, particularly on your legs. This may lead to tingling, numbness, burning, or pain that typically starts at the ends of the toes or hands and slowly spreads upward.

Left untreated, you can lose all sense of feeling in the affected limbs. Damage to the nerves associated with digestion may cause issues with nausea, vomiting, constipation, or diarrhea. For guys, it can cause erectile dysfunction.
The kidneys contain tens of thousands of tiny blood vessel clusters (glomeruli) which filter waste from the blood. Diabetes can damage this fragile filtering method. Severe damage may result in kidney failure or long-term coronary kidney disorder, which might require dialysis or a kidney transplant. Diabetes can damage the blood vessels of the retina (diabetic retinopathy), possibly resulting in blindness. Diabetes also raises the risk of other severe eyesight conditions, like cataracts and glaucoma.
Foot harm. Nerve damage in the foot or inadequate blood circulation to the toes increases the danger of various foot complications. Left untreated, blisters and cuts can develop serious illnesses, which frequently heal badly. These illnesses may ultimately require foot or leg amputation.
Skin ailments. Diabetes may make you more vulnerable to skin complications, including fungal and bacterial infections.

Hearing handicap. Hearing problems are more prevalent in people with diabetes. The poorer your blood glucose control, the larger the risk seems to be. Though there are theories concerning how these disorders may be linked, not one has yet been demonstrated. Depression symptoms are typical in people with type 1 and type 2 diabetes. Depression may affect diabetes control.
Infection of gestational diabetes

The majority of women who have gestational diabetes provide healthy infants. But, untreated or uncontrolled blood glucose levels can cause difficulties for you and your infant.

Complications on Your Infant can happen as a result of gestational diabetes, for example:

Excessive expansion. Extra sugar can cross the placenta, which induces your child’s pancreas to produce additional insulin. Very big infants are more likely to need a C-section birth.
Low Blood Glucose. Occasionally babies of mothers with gestational diabetes develop low blood glucose (hypoglycemia) soon after birth due to their own insulin production is elevated. Prompt feedings and occasionally an intravenous sugar solution can reunite the infant’s blood glucose level to normal. Infants of mothers who have gestational diabetes have a greater chance of developing obesity and type 2 diabetes later in life. Untreated gestational diabetes may produce a baby’s death either before or soon after birth.

Complications from the mom can also happen as a result of gestational diabetes, for example:
This problem is characterized by elevated blood pressure, excessive protein in the urine, and swelling in the feet and legs. Preeclampsia may result in severe or life-threatening complications for the mother and infant.
Following gestational diabetes. As soon as you’ve had gestational diabetes during 1 pregnancy, you are more inclined to get it again with another pregnancy. You are also more likely to develop diabetes typically type two diabetes as you become older.

Prediabetes can develop into type 2 diabetes.

Prevention

Type 1 diabetes can not be prevented. However, the Exact Same Healthier lifestyle options that help treat prediabetes, type 2 diabetes, and gestational diabetes may also help stop them:

Eat healthful foods. Choose foods lower in fat and calories and high in fiber. Concentrate on fruits, veggies, and whole grains. Try for variety to prevent boredom.
Get more bodily action. Aim for approximately 30 minutes of aerobic activity on most days of the week, or at least 150 minutes of moderate aerobic activity weekly.

Reduce excess pounds. If you are overweight, losing 7% of your body fat — for instance, 14 pounds (6.4 kilograms) if you weigh 200 pounds (90.7 kilograms) — may lessen the chance of diabetes.

Do not attempt to shed weight while pregnant, however. Speak with your physician about how much weight is healthy that you gain while pregnant.

To maintain your weight in a healthy variety, concentrate on permanent adjustments to your diet and eating habits. Motivate yourself by recalling the advantages of slimming down, like a healthy heart, more energy, and enhanced self-esteem.

Sometimes drugs are an alternative too. Oral diabetes medications like metformin (Glumetza, Fortametothers) may lower the risk of type 2 diabetes but healthful lifestyle options remain crucial. Has your blood glucose checked at least once per year to confirm that you haven’t developed type 2 diabetes?

Early Signs and Symptoms of Diabetes

The next symptoms of diabetes are normal. But some individuals with diabetes have symptoms so mild they go undetected.

Frequent symptoms of diabetes

Urinating often
Feeling really hungry
Feeling really hungry–although You’re eating
Intense fatigue
Blurry vision
Cuts/bruises which are slow to cure
Weight reduction –even though You’re eating more (form 1)
Tingling, pain, or tingling at the hands/feet (form 2)

Early detection and treatment for diabetes may reduce the probability of creating complications of diabetes.

And the treatment is generally quite different, also. Take our Risk Evaluation to discover when you’re at greater risk to get type 2 diabetes.

Can symptoms appear unexpectedly?

Symptoms occasionally happen after a viral disease. Sometimes, someone might get to the stage of diabetic ketoacidosis (DKA) before a type 1 diagnosis is created. DKA happens when blood sugar is dangerously high and the body can not get nutrients to the cells due to the lack of insulin. The body then breaks down fat and muscle for energy, resulting in an accumulation of ketones in the urine and blood. Signs of DKA contain a fruity odor on the breath, deep, taxed nausea, and breathing.

Individuals who have symptoms of type 1 or 2 of DKA–must contact their healthcare provider immediately for precise identification. Remember that these symptoms can signal other issues, too.

The honeymoon period generally occurs after a person has begun taking insulin. A honeymoon may last as little as a week or two up to a year. Nonetheless, it’s very important to be aware that the lack of symptoms does not indicate diabetes has been gone.

Symptoms of type 1 diabetes start in a baby or child

The young kid who’s urinating often, drinking large amounts, losing weight, and getting increasingly more tired and sick is the traditional image of a kid with new-onset type 1 diabetes. If a child who’s potty-trained and dry during the night begins having accidents and shakes the bed, diabetes could be the offender.

Even though it’s simple to create the identification diabetes in a child by assessing blood glucose in the physician’s office or emergency area, the tricky part is recognizing the signs and understanding to select the kid to receive assessed.

Sometimes kids can maintain diabetic ketoacidosis (DKA) if they’re diagnosed with diabetes. Whenever insulin is deficient in the human body, the body can build up substantial levels of an acid known as ketones. After identification and early in therapy, some kids may undergo a stage where they appear to be creating enough insulin. This is often referred to as the”honeymoon period”. It could look like diabetes was cured, but over the years they’ll call for suitable doses of insulin to keep their glucose in the standard selection.

Once an adult is diagnosed with diabetes, then they are frequently wrongly told they have type 2 diabetes. That is because there might be a lack of understanding by a few physicians that type 1 diabetes can begin at any stage, and also in people of each race, form, and size. Individuals who have type 1 diabetes that has elevated blood sugar and traditional risk variables for type 2 diabetes, like being overweight or inactive, are usually misdiagnosed. Additionally, it may be tricky because many adults using new-onset type 1 diabetes aren’t ill in the beginning. Their physician finds an elevated blood glucose level in a regular visit and starts them on exercise, diet, and oral drugs.
Perhaps it is another kind

If you or somebody you know is diagnosed with type 2 diabetes but is not reacting well to the normal remedies for type 2 diabetes, it can be well worth a trip to an endocrinologist to ascertain which kind of diabetes is occurring. Normally, this necessitates antibody tests and the dimension of a C-peptide degree.
Gestational diabetes

Women with gestational diabetes frequently don’t have any symptoms, that’s why it’s significant for at-risk girls to be analyzed at the correct time while pregnant.

HIV and Covid-19: retrospective analysis of hospitalized patients

Clinical results for PLHIV hospitalized for Covid-19 have shown mixed results. Data from the OpenSAFELY study shows that HIV patients have a 2.9-fold risk of death linked to Covid-19 and in the Isarik cohort, the authors find a hazard ratio of 1.49 in terms of mortality at J28. Via a retrospective multicenter analysis of matched cohorts in the United Kingdom, this study aimed to estimate the effect of HIV status on the outcome of hospitalized Covid-19 patients.

Index cases were HIV + patients Covid-19 PCR + hospitalized between 1 st  February and 31 May 2020. The negative patients were matched for PLHIV to a ratio of 3: 1 of 6 sites in England, site hospital, date of test ± 7 days, age ± 5 years, sex. The primary endpoint was patients achieving ≥ 2 points improvement on the WHO 7 point scale or discharge from the hospital. Baseline characteristics and outcomes were analyzed by stratified Cox proportional hazards regression. The model was fitted for ethnicity, clinical frailty score, body mass index, baseline hypoxia, duration of symptoms, hypertension, diabetes, malignancy, heart, lung, and kidney disease.

68 PLHIV and 181 HIV-negative patients were included out of 6,612 hospitalized patients over the period, in the different sites.

Patients since HIV diagnosis, CD4 at 352 / mm 3 , 97.1% have an undetectable viral load <200 copies / mL and 47.6% were on integrase inhibitors.

In terms of initial characteristics or comorbidities, PLHIV is, compared to subjects not infected with HIV, more frequently with end-stage renal impairment or on dialysis, with Child B or C hepatic impairment, with a higher frailty score, and more often black/other minority.

On the criterion “improvement ≥ 2 points on the WHO 7-point scale or discharge from the hospital”, the results are as follows:

PLHIV had a hazard ratio of 0.57 ( 95 CI: 0.39-0.85; p = 0.005) of achieving a 2-point improvement or discharge from hospital compared to HIV-negative patients. HIV. On the other hand, no difference in mortality at D28 between the 2 groups.

The effect of HIV status is attenuated (aHR = 0.70; 95 CI  : 0.43-1.17; p = 0.18) after adjustment in the multivariate model with the frailty score (aHR = 0.79; CI 95  : 0.65-0.95; p = 0.011), have an active cancer (aHR = 0.37; CI 95  : 0.17-0.82; p = 0.01) or a BMI < 25 (aHR = 0.46; CI 95  : 0.21-0.99; p = 0.047) having a greater impact on the primary endpoint. In terms of secondary endpoints, there is no difference in death or use of mechanical ventilation or improvement in WHO criteria on D28.

Although PLHIV is less likely to achieve improvement or discharge from hospital, after adjustment, the effect of HIV status is lessened. Increased baseline fragility and active malignant tumors remain associated with poorer outcomes for Covid-19.

Abdoul (assumed name), a homeless and undocumented Moroccan in Spain, has survived since last November without his diabetes medication.

As soon as he came of age, Abdoul decided to leave Morocco to join Spain via the Canary Islands, in order to build a better future. Rescued on November 7 by the emergency services, he stayed for 28 days in the Arguineguín detention center, before being accommodated in a hotel where catering conditions were difficult.

After losing consciousness, he was transported to a health center where he was diagnosed with type II diabetes. In the process, he lost his cell phone and the little money he had. “I fainted up to three times and no one cared about my state of health or provided me with any necessary medication,” he laments.

After repeatedly asking for better treatment, Abdoul, against all odds, tested positive for Covid-19, without any apparent symptoms, then was placed in quarantine for an unusually long period of time.

Last month, a ruptured pipe flooded the new camp he was transferred to with sewage, forcing staff to group them into a single tent, in violation of sanitary protocol. Pushed to leave, he left the center with other residents, before asking to come back. But the authorities at the center refused him, which forced him to return to live on the streets. And it was there that he had a new crisis of diabetes and was taken care of by the center.

Today, Abdoul controls his sugar consumption, takes his tablets regularly. If he was still on the streets, his health problems could very well have cost him his life.