Diabetes Exacerbates Covid-19 and Its Prevention

Deputy Secretary General of the Indonesian Ulema Council (MUI) Ustaz Tengku Zulkarnain died of exposure to the corona virus that causes Covid-19. This Deli Malay-blooded ustaz is known to have comorbid diabetes.
"Yes, there is DM [diabetes mellitus]. There is a congenital disease. So if you get Covid-19 it becomes worse," Tabrani Group HRD and Corporate Communication Director Ian Machyar told CNNIndonesia.com, Monday (10/5).

Diabetes has indeed become a comorbid or congenital disease that can worsen Covid-19. Diabetes is in the third position of the list of the four most deadly comorbids based on data from the Covid-19 Handling Task Force. Apart from diabetes, there are kidney disease, heart disease, and hypertension which also worsen Covid-19.
The risk of death increases in patients with diabetes. "That could be four to six times as much," said Chairman of the Indonesian Endocrinology Association (PERKENI), Professor Ketut Suastika, some time ago.

Quoting the American Diabetes Association page, viral infections, including SARS-CoV-2, can increase inflammation or internal swelling in people with diabetes. It can also be caused by high blood sugar levels and the inflammation can lead to severe complications.

When infected with the virus, people with diabetes will face an increased risk of diabetic ketoacidosis (DKA), which is commonly experienced by people with type-1 diabetes.

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DKA is a diabetes complication characterized by high levels of ketones in the body. One characteristic sign that often appears is bad breath that smells of fruit. This condition requires medical attention as soon as possible.

DKA can complicate the management of fluid intake and electrolyte levels, which are important in treating sepsis. Sepsis is a serious complication experienced by some Covid-19 patients.

It's important to remember, however, that people with diabetes will vary in terms of age, complications and how well they manage blood sugar levels. Properly managed blood sugar levels can lower the risk of complications.
Management and prevention of Covid-19 in people with diabetes is important to reduce the risk of illness and death.
Here's how to manage and prevent Covid-19 in people with diabetes.

1. Wear a mask, wash hands, and keep your distance
Diabetes patients must follow general Covid-19 prevention recommendations, such as wearing a mask, washing hands regularly, and maintaining distance. People with diabetes are also advised to avoid crowds and stay at home.
2. Control the glycemic
Controlled blood sugar can prevent complications. Control blood sugar with a proper diet, eat foods with a low glycemic index, and maintain a balanced body weight.

"Good sugar levels, lower mortality rates. Glycemic control is a key point in Covid-19," said Ketut.

3. Routinely monitor blood sugar
People with diabetes are encouraged to monitor blood sugar more frequently. Immediately consult a doctor if changes occur.

4. Take care of the condition of the heart and kidneys
Diabetes is closely related to heart and kidney health. Always pay attention to the condition of these two important organs in order to prevent complications.

5. Appropriate food intake
Blood sugar levels are affected by food intake. Choose foods that don't raise blood sugar levels quickly. Don't forget to eat a balanced diet.

6. Exercise
Blood sugar levels can be maintained with exercise. Regular exercise can help maintain body weight, which is an important factor for people with diabetes.

7. Deal with stress
Stress can make diabetes worse. Do activities that are fun and raise the mood at home.

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4 Reasons To Eat Whole Wheat Bread Can Help Lose Weight
Low-carb diets are becoming more and more prevalent these days. Eating foods containing carbohydrates, such as bread alone, can be considered a big sin. In fact, carbohydrates are a source of energy that the body needs.
Is eating a piece of bread with your favorite scramble egg really that bad for your health? Then whether eating bread-which contains carbohydrates-can make you gain weight?

The answer is no, it depends on what kind of bread you eat. In fact, some dietitians say that eating bread can help you lose weight.
If you cut out carbs to lose weight, it backfires because your body and brain need carbohydrates, it's better to consciously consume carbohydrates so that your brain records that you've eaten, so you're less likely to eat additional snacks, "says nutritionist Frances Largeman- Roth, reported by Eat This Not That.

Bread is often viewed negatively when someone is on a diet. But keep in mind, not all breads are rich in carbohydrates, so they should be avoided. You only need to replace white bread with bread