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?:abstract
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Diabetes mellitus is a worldwide public health problem which is associated with an increase in morbidity and mortality in the affected population due the development of micro and macrovascular complications Currently, the SARS-CoV-2 epidemic is constantly increasing in many countries, causing the collapse of healthcare systems by leading to an increased demand for care, as well as an upsurge in the associated mortality Available reports describe that patients with diabetes mellitus have an increased risk of unfavorable progression, development of complications and even an increase in mortality rate Some physiological mechanisms have been proposed to try to explain this special evolution in patients with diabetes Given the presence of 2019 coronavirus disease in our country and an important group of high-risk patients, a review of the pathophysiology and management considerations of this association is presented
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RESUMEN La diabetes mellitus es un problema de salud pública a nivel mundial y causa un aumento de la morbimortalidad en la población afectada con el desarrollo de complicaciones micro y macrovasculares Actualmente la epidemia causada por el SARS-CoV-2 está en constante aumento en muchos países provocando el colapso de los sistemas de salud al generar un aumento de la demanda de atención, así como un aumento de la mortalidad asociada Los reportes disponibles describen que los pacientes con diabetes mellitus presentan un mayor riesgo de evolución desfavorable, desarrollo de complicaciones e incluso un aumento de la tasa de mortalidad Se ha propuesto algunos mecanismos fisiopatológicos para tratar de explicar esta especial evolución en los pacientes con diabetes Ante la presencia de enfermedad por el coronavirus 2019 en nuestro país y de un importante grupo de pacientes de alto riesgo, se presenta una revisión de la fisiopatología y consideraciones de manejo de esta asociación ABSTRACT Diabetes mellitus is a worldwide public health problem which is associated with an increase in morbidity and mortality in the affected population due the development of micro and macrovascular complications Currently, the SARS-CoV-2 epidemic is constantly increasing in many countries, causing the collapse of healthcare systems by leading to an increased demand for care, as well as an upsurge in the associated mortality Available reports describe that patients with diabetes mellitus have an increased risk of unfavorable progression, development of complications and even an increase in mortality rate Some physiological mechanisms have been proposed to try to explain this special evolution in patients with diabetes Given the presence of 2019 coronavirus disease in our country and an important group of high-risk patients, a review of the pathophysiology and management considerations of this association is presented
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