Diabetes and COVID-19

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Retrain athletes/recreational runners with diabetes

  • 1.  Retrain athletes/recreational runners with diabetes

    Posted 06-03-2020 20:39

    Now that whole world is coming out from an extended lockdown in a phased manner, the question that pops out is how to retrain athletes and recreational runners who were forced to be in shelter in place and got themselves detrained  for weeks.
    we need to propose an algorithm for asymptomatic Covid 19 negative  population as well as Covid19 patients who had been asymptomatic or had only mild symptoms and recovered in less than ten days. 



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    Janardanan Kumar MD
    Chennai
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  • 2.  RE: Retrain athletes/recreational runners with diabetes

    Posted 06-04-2020 13:40
    I have seen a few joggers in my community running with masks on. I cannot believe that would be ideal for the professional athlete. Hopefully they will be able to train while social distancing. One thing is for sure, everyone with diabetes should be aware that it does put them at higher risk for COVID complications and hospitalization. Perhaps an athlete's lifestyle decreases that risk. That would be an interesting study...

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    Kathleen Hebdon RN, BSN, CDE
    SPRINGVILLE NY
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    Original Message


  • 3.  RE: Retrain athletes/recreational runners with diabetes

    Posted 06-05-2020 12:26
    It is an interesting topic. I imagine athletes are expelling large quantities of air when exercising which may contribute to viral transmission if they are near another person. The mask helps reduce this transmission, however I imagine the elevated CO2 inhalation associated with mask use may also have detrimental effects on a person's health. I would be curious to know as well if HCWs who are wearing the N95 mask for prolonged periods of time are frequently going into compensated metabolic acidosis, and what health impact this can have over time with regular use of the mask...

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    Colette G. Le Bienvenu Melo
    Student RN
    B.S. Food & Nutrition Science
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    Original Message


  • 4.  RE: Retrain athletes/recreational runners with diabetes

    Posted 06-07-2020 12:24
    Hello all, this is a great question, I am going to post it on the Exercise Physiology Interest Group as well.

    Thank you, LaurieAnn

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    LaurieAnn Scher, MS, RD, CDCES
    Diabetes Care and Education Specialist
    Chief Strategy Officer
    Fitscript
    LaurieAnn.scher@fitscript.com
    203 247 0072
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    Original Message


  • 5.  RE: Retrain athletes/recreational runners with diabetes

    Posted 06-06-2020 15:25

    everyone with diabetes should be aware that it does put them at higher risk for COVID complications and hospitalization
    Kathleen Hebdon,  06-04-2020 13:40
    Is this really true for type 1s? Has anyone seen any report that breaks out type 1s and shows us to be at elevated risk? I've scanned many preprints via meta.org matching "diabetes and COVID-19"; I don't think I've seen a single one that makes the distinction between types 1 and 2 (much less the 70 or so rare types). This mixing of almost totally different diseases is all too common in ordinary times but seems to be even worse in the rush to study COVID-19 implications, leaving type 1s with no firm knowledge about risk.

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    Edward Reid
    TALLAHASSEE FL
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    Original Message


  • 6.  RE: Retrain athletes/recreational runners with diabetes

    Posted 06-06-2020 15:50
    You're right, much of the literature and education has been focused on increased risk of COVID 19 in DMII specifically. Likely these patients have other comorbidities that increase their risk significantly compared to DMI populations. However it is known that both patients with DMI or DMII are at increased risk of lower respiratory tract infections compared to control patients.

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    Colette G. Le Bienvenu Melo
    Student RN
    B.S. Food & Nutrition Science
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    Original Message


  • 7.  RE: Retrain athletes/recreational runners with diabetes

    Posted 06-07-2020 13:35
    See attached. Both type 1 and type 2 are risk factors for severe COVID-19 disease.

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    Mary Loeken PhD
    Chair, ADA Pregnancy and Reproductive Health Interest Group
    Research Investigator
    Joslin Diabetes Center
    Boston MA
    617-309-2525
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    Original Message


  • 8.  RE: Retrain athletes/recreational runners with diabetes

    Posted 06-07-2020 13:10
    I have also wondered about this correlation.  Is the risk correlated with degree of hyperglycemia while in the hospital?  Prior to the hospital?  Or does the mere fact that you are diagnosed at all seem to put you at increased risk?  I did recently see a quick headline about Type 1 risk being higher than Type 2 (sorry I don't know the citation), but I can't help but wonder whether that has something to do with the dismal rates of well controlled BGs while in the hospital, and that good management in the hospital while on insulin is more difficult to achieve for a Type 1 vs a Type 2.  Just an educated guess.

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    Kelly Wheeles
    BUFORD GA
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    Original Message