Coronavirus (COVID-19) results in a respiratory infection that causes patients to develop mild to severe symptoms including a cough, fever, and difficulty breathing. Symptoms may take up to 14 days to appear after exposure to COVID-19.
Since diabetes is a chronic disease, questions and concerns about the impact of COVID-19 is understandable. People living with diabetes, especially those with poor glycemic control have an increased risk for some infections. It is for that reason that vaccinations are recommended when available. At this time, a vaccine for COVID-19 is not yet available.
How to prevent the infection
Public health agencies in Canada and world-wide have described actions that can help prevent the spread of viruses that cause respiratory illnesses.
Take these steps to reduce exposure to the virus and protect your health:
- Wash your hands thoroughly and regularly with soap and water.
- Sneeze and cough into your sleeve; when using tissues, immediately dispose of them into the garbage as soon as possible and wash your hands afterwards.
- Avoid touching your eyes, nose or mouth.
- Regularly clean commonly used surfaces and devices you touch or handle.
- Try to avoid contact with people who are showing symptoms of respiratory illness, such as coughing.
- Check national travel advice before planning or taking trips.
- If you have a fever, cough and difficulty breathing, seek medical care early and share previous travel history with your health-care provider.
- If you have a scheduled visit with your health-care provider, contact them via phone/or portal first to see what other options you may have (many clinics have increased their use of telemedicine) as visiting a clinic can increase your risk of being exposed to the virus. Follow the advice of your health-care provider.
The public health authorities are emphasizing that if you think you might be sick, stay home from work or school.
Everyone should have a plan in case they or a loved one becomes ill. For people living with diabetes, this is very important.
Your plan may include:
- Gather the contact information for your doctors, clinic, pharmacy and your insurance.
- Write down the names and doses of your medications.
- Have enough medication for one-two weeks in case you cannot get to the pharmacy to refill your prescriptions.
- Ensure all your medications have refills available, so you do not have to leave the house if you become ill.
- Have extra supplies like rubbing alcohol, hand sanitizers and soap to wash your hands.
- Keep simple sugars (i.e. glucose tablets) on-hand in case you need to treat low blood sugar which may occur more frequently with illness due to changes to eating patterns.
- Have glucagon available in case of a significant low blood sugar (if taking insulin or medications that can cause low blood sugar).
- Have ketone strips available in case of illness (if you have type 1 diabetes).
For more information please visit the Government of Canada’s website.
What to do if you think you might have the infection
In general, when someone living with diabetes gets sick, blood sugar management becomes harder as well as other co-existing conditions, such as high blood pressure, etc. When this happens, it’s important to stay hydrated, continue to eat (if possible) and monitor blood sugar.
If you have diabetes and you think you may have been exposed to COVID-19, please visit the Government of Canada’s website for the most up-to-date advice on what to do. You can also call your health-care provider or local public health office for specific instructions. Please keep in mind, it’s important to call your provider before going into their office if you have a respiratory illness such as coughing.
The risk of contracting COVID-19 in Canada remains low, with only 45 confirmed cases as of March 5, 2020. However, if you are living with diabetes and become unwell for any reason, it’s important that you take specific actions, and that you closely monitor your blood sugar.
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