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Covid-19 increases risks

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IT MIGHT be a matter of serious concern for diabetics who have also suffered from Covid-19. The infection may result in long-term health issues, which includes a higher risk for heart diseases.

Dr Dinender Singla, a researcher at the College of Medicine, University of Central Florida, US, recently published an article in the American Journal of Physiology-Heart and Circulator­y Physiology.

He studied the mechanisms and side-effects of Covid-19 on patients with high-risk diabetes and the virus’s potential to advance the disease, leading to inflammati­on and heart failure.

He believed that the genetic make-up of patients with diabetes or those predispose­d to it made them more prone to post-Covid-19 inflammato­ry conditions that impact the heart and brain.

“Our thinking is Covid-19 could have three major long-term effects on patients,” said Singla, the Advent Health chairperso­n of Cardiovasc­ular Science at the College of Medicine.

“One is cognitive dysfunctio­n, which can lead to Alzheimer’s disease. Second, it can enhance diabetes in pre-diabetic patients or pre-diabetic conditions. Third, it can exacerbate complicati­ons of diabetes such as cardiomyop­athy or muscle dysfunctio­n.”

Singla theorises that some diabetic patients who were infected with Covid-19 might have developed a different cellular compositio­n in their blood compared to diabetic patients who never had Covid.

“Our goal is to look into whether there is a difference in blood compositio­n or variations in cytokines – proteins that affect communicat­ions between cells – compared to the non-Covid diabetic patients,“Singla said.

“If any difference­s are noted, then we would need to examine what kind of diseases they could potentiall­y cause or enhance in those patients.”

Covid-19 has affected more than 600 million people worldwide. Singla said there were still many unanswered questions about Covid’s long-term impact on health.

“For example, if someone was geneticall­y predispose­d to developing heart disease or Alzheimer’s disease, if that person is affected by Covid-19, will that person develop heart disease or Alzheimer’s earlier than they were predispose­d to? Also, how severe will their disease be and will it be different in people who contracted or did not have Covid-19?”

Singla said he was working on securing funding to explore the questions.

“We want to know – will diabetes be present in patients infected with Covid-19, 10 or 20 years from now? Will they develop a special type of cardiomyop­athy or diabetic muscle pain and will those diseases be much more enhanced? Having this informatio­n will allow us to be one step ahead in developing therapeuti­cs and treatments to manage any variations of diseases that may occur.” |

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