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End stage renal disease (ESRD) is associated with a high mortality rate among patient hospitalised with COVID-19. To our knowledge, there is limited data on the clinical features, ethnicity, inpatient glycaemic control and outcomes in patients with diabetes related ESRD in the literature. We report the clinical features and outcomes of 39 consecutive ESRD patients [28 on haemodialysis (HD) and 11 with renal transplant] secondary to diabetic kidney disease admitted to a university hospital with COVID-19. We observed a high prevalence of patients of Afro-Caribbean ethnicity hospitalised with COVID-19 with a 73% and 54% prevalence in renal transplant and HD groups respectively. . The mortality rate of our cohort was high at 36%. Nearly a one third of HD patients and one fifth of transplant patients had hypoglycaemic events during COVID-19 hospitalisation. Adjustment of diabetes treatment was also frequently required. Our data highlights the importance of integrated multidisciplinary care of patients with diabetes related ESRD hospitalised with COVID-19.
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High prevalence of Afro-Caribbean ethnicity and hypoglycaemia in patients with diabetes and end stage renal disease hospitalised with COVID-19.
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