We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us
Detecto

Download Mobile App





AI Algorithm for Blood Sugar Management Reduces Risk of Serious Complications in Diabetic COVID-19 Patients

By HospiMedica International staff writers
Posted on 14 Aug 2020
Print article
Illustration
Illustration
Preliminary observations of COVID-19 patients with diabetes has inspired researchers from the University of Michigan (Ann Arbor, MI, USA) to develop an algorithm for glucose monitoring that could help combat the virus’ serious complications.

After preliminary observations of 200 COVID-19 patients with severe hyperglycemia, the Michigan Medicine team has discovered why high blood sugar may trigger worse outcomes in people infected with the virus. The researchers have also developed a blood sugar management tool that could potentially reduce the risk of secondary infections, kidney issues and intensive care stays in people with diabetes, prediabetes or obesity who get COVID-19.

According to the researchers, the low grade, inflammatory nature of diabetes and hyperglycemia promotes the virus’ inflammatory surge, resulting in insulin resistance and severe hyperglycemia. Specifically, these patients are at an increased risk for mechanical ventilation, kidney replacement therapy due to kidney failure and requiring medications known as vasopressors to stop dangerously low blood pressure or steroids to combat acute respiratory distress syndrome.
Based on their findings, the research team has developed a tool to identify and manage high blood sugar in COVID-19 patients, placing them into certain risk categories that looked at hyperglycemia severity, presence of obesity, level of insulin resistance, extent of kidney dysfunction and evidence of rapid changes in inflammatory markers. The newly created hyperglycemia management teams set out to find a way to monitor patients’ diabetes without having to use more personal protective equipment to visit the rooms all the time. It also aims to reduce the health care provider’s exposure to the virus as much as possible.

Although typically accurate, a continuous glucose monitor wouldn’t be as helpful because a patient’s low blood pressure and the use of blood pressure medications could falsely elevate blood sugar levels. The new protocol called for insulin delivery every six hours, and at the same time a nurse would check in on the patient. Some patients who were on ventilators or receiving high doses of Vitamin C would get their arterial or venous blood sugar levels checked, replacing the need for the team’s blood sugar check. For those with the highest blood sugar levels and severe hyperglycemia, insulin infusions were an option for patients until their levels fell between a normal range. The result of these efforts helped successfully lower blood sugar levels without increasing nurse contact or the overall burden on primary care teams and PPE usage.

“Improving blood sugar control was important in reducing the amount of secondary infections and kidney issues this cohort of patients are susceptible to,” said first author Roma Gianchandani, M.D., a professor of internal medicine in the Michigan Medicine division of metabolism, endocrinology and diabetes. “This might help shorten ICU stays and lessen the amount of patients that need a ventilator.”

Related Links:

University of Michigan

BMP Whole Blood Analyzer: GEM Premier ChemSTAT
Gold Supplier
Auto Urinary Sediment Analyzer
EH-2030
New
Microarray Hybridization Station
CapitalBio BioMixer II
New
4K Lite Ultra HD Camera
UHD-4K Lite Camera

Print article
Radcal

Channels

AI

view channel
Image: AI transforms smartwatch ECG signals into a diagnostic tool for heart failure (Photo courtesy of Pexels)

AI-Based Smartwatch Accurately Detects Heart Failure Using ECG Signals

People with a weak heart pump might not have symptoms, but this common form of heart disease affects about 2% of the population and 9% of people over 60. When the heart cannot pump enough oxygen-rich blood,... Read more

Critical Care

view channel
Image: PATHFAST is a compact immunoanalyzer with superior assay performance (Photo courtesy of PHC Europe)

Benchtop Immunoanalyzer Delivers Lab Quality Results for Cardiology, Intensive Care and Emergency Wards at POC

A compact immunoanalyzer with superior assay performance combines the accuracy of a full-scale lab analyzer with the flexibility of a mobile solution, making it an ideal analysis system for laboratories,... Read more

Surgical Techniques

view channel
Image: Bioelectric medicine could stem excessive blood loss (Photo courtesy of Pexels)

Wearable Neurostimulation Solution Could Stem Excessive Blood Loss in the OR

A wearable neurostimulation solution focused on lessening excessive blood loss could save precious time for surgical teams in the operating room. A collaboration between Spark Biomedical, Inc.... Read more

Patient Care

view channel
Image: The digital stretcher scales are designed specifically for emergent situations in hospitals and emergency rooms (Photo courtesy of DETECTO)

Portable High-Capacity Digital Stretcher Scales Provide Precision Weighing for Patients in ER

For emergency arrivals into a hospital, time is of the essence for gathering patient weights. Now, digital stretcher scales specifically designed for emergent situations in hospitals and emergency rooms... Read more

Health IT

view channel
Image: Using digital data can improve health outcomes (Photo courtesy of Unsplash)

Electronic Health Records May Be Key to Improving Patient Care, Study Finds

When a patient gets transferred from a hospital to a nearby specialist or rehabilitation facility, it is often difficult for personnel at the new facility to access the patient’s electronic health records... Read more

Business

view channel
Image: The global visualization instruments for MIS market is estimated to surpass USD 21 billion by 2031 (Photo courtesy of Pexels)

Global Visualization Instruments for MIS Market Driven by Increasing Demand for Endoscopy Procedures

The last few years have witnessed an increase in patient preference for medical surgeries that involve fewer incisions. As a result, the demand for visualization instruments, which aid in achieving improved... Read more
Copyright © 2000-2022 Globetech Media. All rights reserved.