COVID-19 in People With Diabetes: Urgently Needed Lessons From Early Reports
Matthew C. Riddle, John B. Buse, Paul W. Franks, William C. Knowler, Robert E. Ratner, Elizabeth Selvin, Deborah J. Wexler, Steven E. Kahn
Abstract
Epidemic infections have frightened and harmed people for millennia.Plague (1) and typhus (2), bacterial infections associated with poor sanitation and high mortality, have devastated populations.Both still reappear intermittently, but they are generally contained with better sanitation and control of rodent and insect vectors along with antibiotics.In contrast, viral epidemics persist.A unique strain of influenza caused a global epidemic (pandemic) in 1918 resulting in millions of deaths (3).Among recent outbreaks of viral infections, several have been caused by coronaviruses (4).One of these, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is now causing a pandemic illness termed coronavirus disease 2019 (COVID-19) that poses unique challenges.This novel coronavirus is readily transmitted from person-to-person, even by those who are infected but without symptoms.In susceptible people it causes severe illness and often death from pulmonary and systemic injuries.At present, we have neither a preventive vaccine nor well-studied pharmacotherapy, although work to develop these is vigorously underway.