Diabetes during the Corona Pandemic [2]

Dr. Abdullah Al Mamun. Diabetes is a disease that we are quite vulnerable to when we get it. But if we don't panic and follow the doctor's advice, then we can live a normal life.

Diabetes is not only a physical disease, it also affects the mind deeply. When someone is told you have diabetes in the beginning, it will be lifelong and you may need to take more and more medications along with lifestyle changes. These facts can put the diabetic patient under mental stress or depression.

Disease severity and mortality rates increase when infected with Covid-19. However, in those with diabetes, the death rate increases at least 5 to 6 times when infected with Covid-19. The risk is even higher in those whose diabetes was not previously controlled.

If a diabetic patient is infected with Covid-19, there is a risk of increased blood glucose. Therefore, it is necessary to adjust the medication by measuring glucose frequently during this time. Many may need to start insulin again. In some cases, blood glucose may also decrease. Therefore, medication should be adjusted by measuring glucose frequently.

1. Follow the guidelines given by the doctor regarding diabetes.
2. Doctor's prescription must be preserved.
3. Follow the medication because if you don't get the medicine in the nearest pharmacy.
4. Medical devices should be kept with. Eg: injection, stick etc.
5. Make sure to keep all medications close at hand so that you can get treatment at home if you get sick.
6. Extra equipment should be kept such as: rubbing alcohol, hand sanitizer and soap. To keep your hands clean at all times.
7. If blood glucose drops suddenly, simple sugar should be kept at hand for treatment. Eg: glucose tablets, hard candies, juices etc.
8. Keep ketone strips handy if you have type-1 diabetes.
9. Keep a record of when you were sick the most.

# Dr. Abdullah Al Mamun
MBBS, CCD Bardem
Medicine and diabetes specialist
Senior Medical Officer
Department of Internal Medicine
Gulshan Diagnostic Center, Dhaka.

Things to do to prevent Corona virus

# stay at home all the time.
# Follow the rules and use mask when going out for emergency.
# three-layer surgical mask can be washed if desired.
# wash clothes after coming home from outside. Or hang it without shaking for at least four hours.
# Wash hands thoroughly (for at least 20 seconds) with soap or liquid before coming outside.
# plastic PPE or eyes, face, head must be washed thoroughly with detergent and dried after one use.
# Wear PPE made of cloth or clean as described.
# Use a head cap that completely covers the hair.
# Those who have sneeze cough should follow all the rules promulgated by the government. Also, wash hands as directed before and after handling food items, keys, switches, mice, remote controls, mobiles, watches, computer desks, TVs, etc. and after using the bathroom. Those who have dry hands use Moisture after washing their hands. Soap or hand liquid can be used. Why can this virus remain in the crackle (cracked part) of dry hands? Avoid using highly alkaline soaps or detergents.

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