New onset Diabetes mellitus in hospitalized patients during the pandemic at a four-level hospital in Bogota
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Diabetes mellitus
New onset diabetes mellitus

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Barrios Laverde, D., Adams González, N. ., & Flórez Romero, A. . (2024). New onset Diabetes mellitus in hospitalized patients during the pandemic at a four-level hospital in Bogota. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 11(1).


Background: Diabetes Mellitus have high prevalence in the world. It constitutes a risk factor for disability and mortality. In-hospital it could have a highly impact on outcomes.

Purpose: Describe the sociodemographic and clinical characteristic of patients of whom new onset diabetes mellitus diagnosis was made during his hospital stay, during the SARS-CoV-2 pandemic.

Methodology: Observational, descriptive retrospective study. Population was adult patients, hospitalized in Hospital Universitario Mayor Mederi, during the period covered between June to November of 2020.

Results: New Onset diabetes mellitus diagnosis was made in 219 cases. Average age was 63 years, with a masculine majority 64,84%. The most common comorbidity was arterial hypertension 38,81%. Only 3,65% had a previous diagnosis of prediabetes and 1,83% was metformin users.  35,62% had normal weight. 51% had an admission diagnosis of infection. 46,12% of the admission was due to SARS-CoV-2 infection. Corticoid administration was required in 48,86% of the patients. The most common complication was acute renal injury (ARI) 32,42% and cardiovascular complications 21,00%. Mortality was 12,33%. When evaluating the variables according to mortality, acute renal failure show differences in the deceased group 81,46% and in the survivors 25,52%. Based on the presentation of cardiovascular complications (CCV), the ARI show differences with 52,17% in patients with CCV vs 27,17% in the group without CCV, and patients with in-hospital infections also show differences, 26,09% in the group with CCV vs 10,40%. Based on the length of hospitalization, patients with admission diagnosis of infection were 24,32% in the group of shorth, 58,82% in the group of medium and 74,03% in the group of long stay, showing differences in the groups.

Conclusions: Diabetes mellitus despites advances in its treatment, persist as an underdiagnosis disease at the hospital level, and require more studies to determine risk factors that focus on early detection.
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American Diabetes Association Professional Practice Committee. 2. Diagnosis and classification of diabetes: standards of care in diabetes 2024. Diabetes Care. 2024 en. 1;47(supl. 1):S20-42.

Petersmann A, Müller-Wieland D, Müller UA, Landgraf R, Nauck M, Freckmann G, et al. Definition, classification and diagnosis of diabetes mellitus. Exp Clin Endocrinol Diabetes. 2019 dic.;127(S 01):S1-7.

Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019 nov.;157:107843.

Cuenta de Alto Costo. Situación de la enfermedad renal crónica, la hipertensión arterial y la diabetes mellitus en Colombia - 2018 [Internet]. Cuenta de Alto Costo. [citado 2020 oct. 8].

IDF Diabetes Atalas. Resources [Internet]. [citado 2020 oct. 8].

Escobedo J, Buitrón LV, Velasco MF, Ramírez JC, Hernández R, Macchia A, et al. High prevalence of diabetes and impaired fasting glucose in urban Latin America: the CARMELA Study. Diabetic Med. 2009 sept.;26(9):864-71.

Diabetes Prevention Program Research Group. The prevalence of retinopathy in impaired glucose tolerance and recent-onset diabetes in the Diabetes Prevention Program. Diabetic Med. 2007 febr.;24(2):137-44.

Tapp RJ, Shaw JE, Zimmet PZ, Balkau B, Chadban SJ, Tonkin AM, et al. Albuminuria is evident in the early stages of diabetes onset: results from the Australian Diabetes, Obesity, and Lifestyle Study (AusDiab). Am J Kidney Dis. 2004 nov.;44(5):792-8.

Huang D, Refaat M, Mohammedi K, Jayyousi A, Al Suwaidi J, Abi Khalil C. Macrovascular complications in patients with diabetes and prediabetes. Biomed Res Int. 2017:7839101.

Agudelo-Botero M, Dávila-Cervantes CA. Carga de la mortalidad por diabetes mellitus en América Latina 2000-2011: los casos de Argentina, Chile, Colombia y México. Gac Sanit. 2015 my. 1;29(3):172-7.

González JC, Walker JH, Einarson TR. Cost-of-illness study of type 2 diabetes mellitus in Colombia. Rev Panam Salud Pública. 2009 jul.;26(1):55-63.

Vargas-Uricoechea H, Casas-Figueroa LÁ. Epidemiología de la diabetes mellitus en Sudamérica: la experiencia de Colombia. Clín Invest Arterioscler. 2016 sept. 1;28(5):245-56.

Clore JN, Thurby-Hay L. Glucocorticoid-induced hyperglycemia. Endocr Pract. 2009 ag.;15(5):469-74.

Umpierrez GE, Isaacs SD, Bazargan N, You X, Thaler LM, Kitabchi AE. Hyperglycemia: an independent marker of in-hospital mortality in patients with undiagnosed diabetes. J Clin Endocrinol Metabol. 2002 mzo.;87(3):978-82.

Hoang QN, Pisani MA, Inzucchi S, Hu B, Honiden S. The prevalence of undiagnosed diabetes mellitus and the association of baseline glycemic control on mortality in the intensive care unit: a prospective observational study. J Crit Care. 2014 dic.;29(6):1052-6.

Osuna Pérez M, Rivera MC, Bocanegra CJ, Lancheros A, Tovar H, Hernández JI, et al. Caracterización de la diabetes mellitus tipo 2 y el control metabólico en el paciente hospitalizado. Acta Méd Col. 2014 oct. 1;39(4):344-51.

The RECOVERY Collaborative Group. Dexamethasone in Hospitalized Patients with Covid-19. N Engl J Med. 2020 jul. 17;384:693-704.

Ceccarelli E, Mattaliano C, Brazzi A, Marinetti AC, Nigi L, Chirico C, et al. Hyperglycemia and diabetes induced by glucocorticoids in nondiabetic and diabetic patients: revision of literature and personal considerations. Curr Pharm Biotechnol. 2018;19(15):1210-20.

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