CDC - "Particularly if not well controlled"

Here’s the very latest (dated March 22) revision of CDC guidance on what constitutes high risk. Diabetes is called out with the “PARTICULARLY IF NOT WELL CONTROLLED”.

Based upon available information to date, those at high-risk for severe illness from COVID-19 include:

  • People aged 65 years and older
  • People who live in a nursing home or long-term care facility
  • Other high-risk conditions could include:
    • People with chronic lung disease or moderate to severe asthma
    • People who have heart disease with complications
    • People who are immunocompromised including cancer treatment
    • People of any age with severe obesity (body mass index [(BM]I)≥40) or certain underlying medical conditions, particularly if not well controlled , such as those with diabetes , renal failure, or liver disease might also be at risk
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,one question.
What is the chances of a type 1 thats had DKA in say the last 5 years aged 46 now more?

Just asking…

Without a doubt sick day management and especially avoiding DKA is going to be super hard for any T1 that ends up getting Covid-19.

I tried to relay to my endo, how hard it was for me 30+ years ago when I as a college-age T1 got Chicken Pox. I guess I had just been lucky in my younger years to have not gotten it - I wasn’t the world’s most social kid which is probably how I avoided it for so long… That illness which is minor for young kids, SERIOUSLY had me out of commission for a whole week and somehow I muddled through with massively increased insulin doses but still also having high bg’s the whole time. If I had fallen asleep for 24 hours though, there wasn’t anyone who could’ve helped me with the inevitable DKA (my longest acting insulin at the time was NPH which was maybe good for 12 hours).

My endo did point out that with newer technology like CGM’s I would be better able to handle something like that today. At same time, I’m no longer 19, I’m now AARP-eligible.

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I read a study that indicated type II with or without obesity, was a high risk category. Didn’t mention type I.

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I have noticed they have “moved” the warning instead of just saying you are at high risk if you have diabetes to “particularly if not well controlled” diabetes. Hopefully if you are well controlled it drastically lowers your risk.

I know us type 1’s though can become pretty uncontrolled quickly when sick, it’s hard to want to pump enough insulin to keep those numbers down when normally those doses would crash you big time. And then you have to keep doing it and worry about crashing. Thank goodness for my Dexcom.

Luckily I don’t get sick often or maybe unluckily because I am not as used to what to do. But I know with a tooth infection or the one time I was sick it wasn’t just a 10-20% basal increase to control my BG levels. And in fact my BG shot up for a few days before I even knew it was a tooth infection causing it.

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Having DKA in last 5 years, at diagnosis should not affect chances of COVID.

However, if you currently have many high/low BGs, or high A1C, and get covid, it may take longer to recover.

Oh, completely. More like 100%+ boost in doses if not more when I had chicken pox and Lyme disease in the past.

If you haven’t already… google “Rage Bolus” :slight_smile:

Tim.

@Tim12 Believe me! I’m quite familiar with a rage bolus!!!

The act of irrationally wanting your BG’s to go down NOW!!! :grin:

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“If I had fallen asleep for 24 hours though, there wasn’t anyone who could’ve helped me with the inevitable DKA (my longest acting insulin at the time was NPH which was maybe good for 12 hours).”

This certainly points to the value of the “share” app option for CGMs. I don’t use it, but certainly would sign up fast on my and my wife’s iPhones if I thought I couldn’t respond to an alarm! It helps that she flat-out hates it if an alarm goes off at night! (A good incentive for maintaining good control…).