%0 Journal Article
%T Diabetes Mellitus and COVID-19 at Abass Ndao Hospital Epidemic Treatment Center (ETC)
%A Diallo Ibrahima Man¨¦
%A Di¨¦dhiou Demba
%A Ndour Michel Assane
%A Sow Djiby
%A Diallo Adja Tacko Man¨¦
%A Dieng Mouhamed
%A Gadji Fatou Kin¨¦
%A Thioye El Hadji Mamadou Moussa
%A Bass¨¨ne Joseph
%A Ndiaye Ndeye Fama Mody
%A Sarr Anna
%A Ndour Mbaye Maimouna
%J Open Journal of Endocrine and Metabolic Diseases
%P 91-102
%@ 2165-7432
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojemd.2022.124007
%X Introduction: SARS-COV2 infection is a major public health problem and diabetes
mellitus is a serious factor. The objective was to determine the characteristics of COVID-19 in diabetics at the
Epidemic Treatment Center (ETC) of the Abass Ndao Hospital Center. Observation: This was a retrospective, descriptive and
analytical study carried out at Abass Ndao Hospital from March 01, 2021 to September 31, 2021. We evaluated
the epidemiological, clinical and evolutionary characteristics. Results: Among 333 patients infected with COVID-19, 203 were diabetic (60.96%). The sex
ratio was 0.70 and the mean age 60.18 years.
Diabetes was type 2 (84.2%) and inaugural (15.8%). Arterial hypertension
was the main comorbidity (86.96% of cases). The
RT-PCR test was positive in 86.21% of cases. The main clinical signs
were: asthenia (90.14%), dyspnea (78.81%),
cough (52.21%) and body aches (52.21%). Oxygen saturation was <90% in 31.03% of cases. Diabetes was poorly balanced
in 71.43% with an average blood sugar of 2.02 ¡À 4 g/l. At the paraclinical, the D dimer was ¡Ý1000 ng/l (71.52%) and the
C-reactive protein ¡Ý100 mg/l (32.01%). Chest CT scan found mild to moderate
(55.17%), severe (21.67%) and critical (17.24%) lung lesions. Pulmonary
embolism was found in 4 diabetics. The
treatment of diabetes was represented by insulin therapy (85.82%) and
oral antidiabetics (24.11%). Anti-COVID-19 treatment was dominated by
azithromycin (89.11%), corticosteroid therapy (92.11%), anticoagulants (99%),
hydroxychloroquine (21.29%). Mortality was found in 14.36% (n = 29) and significantly correlated with age ¡Ý 60 years
(OR = 3.013 [1.266 - 7.173], P = 0.005), short duration of
hospitalization (OR = 3.154 [1.149 -