COVID-19 outbreak: guidance for people with diabetes

By now, very few of us are aware of the COVID-19 pandemic in which we currently find ourselves. The World Health Organization (WHO) has declared a public health emergency of international concern, meaning we all need to pay attention to the advice being given. Hopefully, everyone will follow the general advice regarding hand washing and social distancing; however, for those with diabetes, extra precautions should be taken. The International Diabetes Federation (IDF) has made the following recommendations in addition to the more general advice.

If you have diabetes:

• Prepare in case you get ill.
• Ensure you have all relevant contact details in case you need them.
• Pay extra attention to your glucose control.
• If you exhibit flu-like symptoms (fever, cough, difficulty breathing), it is essential to consult a healthcare professional. Coughing up phlegm may indicate an infection; therefore, it is crucial to seek medical support and treatment immediately.
• Any infection will raise your glucose levels and increase your need for fluids, so ensure you have access to a sufficient supply of water.
• Ensure you have a sufficient supply of the diabetes medications you need. Think about what you would need if you had to quarantine yourself for a few weeks.
• Ensure you have access to sufficient food.
• Practice regular physical activity.
• Ensure you can correct the situation if your blood glucose levels drop suddenly.
• If you live alone, make sure someone you can rely on knows you have diabetes, as you may require assistance if you get ill.

Please also stay in touch with your national diabetes association, as this advice may vary slightly depending on your location and the progression of the COVID-19 pandemic. Most importantly, ensure you look after yourself and your loved ones.