Basic aspects of the management of the diabetic patient and COVID-19

Welcome to the Online Course Basics of Diabetic Patient Management and COVID-19!

The high association of T2DM with COVID-19 infection and its complications has been seen from many points of view. This association is based on multiple factors that go through the high association that DM presents with other risk factors for infection such as hypertension and obesity, in addition to the consequent cardiovascular diseases.


The alteration of the innate immunity that diabetics present confers a higher risk of infection. The relationship with the angiotensin II receptor, which uses cells from different tissues as a gateway, making this infection a pathology that is not exclusively limited to the airways. The pancreatic involvement is notable due to direct cytoxicity of the ß cell, its ability to aggravate the low-grade infection already present in diabetics, in addition to triggering a release of cytokines: high amounts of IL-6, IL-1ß, necrosis factor tumor to (TNFa), monocyte chemoattractant protein-1 (MCP-1), with an uncontrolled hyperinflammatory systemic response. It should be noted that in the diabetic patient another risk factor is added, because in the midst of an underlying hypercoagulant / pro-thrombotic state predisposed by the mere presence of DM2, there is an over-activation of the coagulation cascade in COVID-19 that can lead to fatal thromboembolic complications and increased mortality as seen.

 

Course objectives:
To answer many of the questions that have been raised and are raised in diabetic patients with COVID-19 infection. The course starts from a pathophysiological analysis that helps to understand the greater morbidity and mortality of diabetic patients, to make way for seven modules in video format that explain the most important aspects of the affection of the diabetic patient.

 

* In the Preview tab, you will find a video explaining the registration process for the course and the presentation by Dr. Pablo Miramontes.

MODULE 1: Presentation of the course. Diabetes and COVID-19 from pathophysiology to prognosis. Dr. Pablo Miramontes González | Coordinator
 

MODULE 2: Association of hospital hyperglycemia in infection. COVID-19. Transition to discharge. Dr. Fco. Javier Carrasco Sánchez | Coordinator
 

MODULE 3: Therapeutic approach to the COVID-19 patient with DM2. Dr. Pablo Pérez Martínez
 

MODULE 4: Diabetes and cardiovascular disease in COVID-19 infection. Dr. José María Fernández Rodríguez
 

MODULE 5: Heart failure and diabetes in COVID-19. Dr. Leopoldo Pérez de Isla
 

MODULE 6: Obesity in the COVID-19 pandemic. Dr. Juana Carretero Gómez
 

MODULE 7: Basic nutrition in the COVID-19 patient. Dr. Fernando Garrachón Vallo
 

MODULE 8: The diabetic patient with COVID-19 who does not require hospitalization. Dr. Enrique Carretero Anibarro

SEMI
Teaching Hours
9
Credits
9
eaccme
La actividad con número de registro 0211D/12/2020, ha sido acreditada por el Consejo Profesional Médico Español de Acreditación (SEAFORMEC) y por el Consejo Europeo de Acreditación de Educación Médica Continuada (EACCME) con 9 créditos.
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Management

Dr. Pablo Miramontes González

Dr. Pablo Miramontes González

Adjunto en el Servicio de Medicina Interna
H. U. Río Hortega, Valladolid
Dr. Fco. Javier Carrasco Sánchez

Dr. Fco. Javier Carrasco Sánchez

Adjunto de Medicina Interna
Hospital Juan Ramón Jiménez, Huelva

Staff

Dr. Pablo Pérez Martínez

Dr. Pablo Pérez Martínez

Catedrático de Medicina Interna
Hospital Universitario Reina Sofía, Córdoba
Dr. José María Fernández Rodríguez

Dr. José María Fernández Rodríguez

Adjunto en el Servicio de Medicina Interna
Hospital de Cangas de Narcea
Dr. Leopoldo Pérez de Isla

Dr. Leopoldo Pérez de Isla

Jefe de la Unidad de Imagen Cardiovascular
Hospital Clínico San Carlos, Madrid
Dra. Juana Carretero Gómez

Dra. Juana Carretero Gómez

Médico especialista en Medicina Interna
Hospital Comarcal, Zafra
Dr. Fernando Garrachón Vallo

Dr. Fernando Garrachón Vallo

Médico especialista en Medicina Interna
Hospital Universitario Virgen Macarena, Sevilla
Dr. Enrique Carretero Anibarro

Dr. Enrique Carretero Anibarro

Médico de Familia
Servicio Andaluz de Salud