Those with diabetes, dementia and chronic pulmonary disease at high risk

[BeforeIPutOnMyMakeup]

According to Sky News if you have diabetes, dementia or chronic pulmonary disease you are at high risk of dying from Covid-19.

They can't clarify whether it is type 1 or type 2 diabetes.

news.sky.com/story/coronavirus-a-quarter-of-covid-19-patients-who-died-in-england-had-diabetes-11988326

There's been some research suggesting it's a vascular rather than or as well as a respiratory disease. Also possibly an inflammatory disease. Hence the inclusion of immunosuppressants in some of the drugs trials.

Annoys me when reports don't specify whether they are talking about Type 1 or type 2 diabetes, they are quite different!

What about 1.5 (LADA)?

Type 1.5 is autoimmune like T1, just a slower onset.

Type 1.5 is autoimmune like T1, just a slower onset.

Yes I know. What’s your point?

I was responding to @StayAlert ‘s post that it “annoys” her that the distinction between T2 & T2 isn’t made, but she didn’t say why and she didn’t mention 1.5.

Neither do these news fragments. So it’s quite hard to take a definite message from these stats.

T1 & T2^

Type 1 here. Seriously pissed off that more recognition isn't given to the auto immune side of Diabetes.

No preferential treatment here. Can't even get a Sainsbury's delivery since this started!

Hypertension showed up as a lower risk ratio in this recent study:

OpenSAFELY: factors associated with COVID-19-related hospital death in the linked electronic health records of 17 million adult NHS patients.

blood pressure meds are thought to be giving a protective outcome.

Sorry not a link. Google it.

This takes some reading but it shows that it isn't clear cut. It does list uncontrolled diabetes separately. I'm obese, but losing weight and we discuss thos in the diet groups I'm in, the truth is that we don't know what's happening inside our bodies when we are obese, even if we feel well and full of energy. Chances are that we could easily have four co-morbidities going on. A BMI over 30 starts to higher your risks, at 40 you are in a dangerous group.

www.lshtm.ac.uk/newsevents/news/2020/risk-factors-covid-19-death-revealed-worlds-largest-analysis-patient-records.

You click in 'the largest study' and the graphs come up.

The study done on 44'000 Chinese people showed, diabetes, pulmonary and vascular issues (including vascular dementia) were the main co-morbidities.

Interestingly deprivation is mentioned again and again. But we already know that a life of poverty shortens lives and makes us more susceptible to disease.

As PP have said, it is extremely frustrating that there is no attempt to differentiate between Type 1 and Type 2. The Times has an article citing one quarter of UK Covid hospital deaths had diabetes. Any Type 1s out there? Once the statistics are analyzed, it may transpire that Type 2 dominates. After all, given Type 1 accounts for only 10 percent of UK diabetics and given that diabetes in the public mind means type 2, it is likely the risk factor for well controlled Type 1s who are not overweight may be less than this suggests.

www.thetimes.co.uk/edition/news/diabetes-sufferers-account-for-quarter-of-hospital-coronavirus-deaths-lpf2rnkpf

I think I've linked the study Fortyfifty is talking about.

Type 1 here. Seriously pissed off that more recognition isn't given to the auto immune side of Diabetes.

@Oblomov20

Yep. 90 percent of diabetics are Type 2s. When people refer to diabetes, they mean Type 2. The failure to differentiate between Type 1, an auto immune disorder which usually manifests in adolescence and Type 2? Sloppy.

Diabetes has the biggest % of deaths from Covid

www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2020/05/COVID-19-total-announced-deaths-14-May-2020-2.xlsx

Diabetes has the biggest % of deaths from Covid

Does that differentiate between Type 1 and Type 2? What percentage of those had comorbidities? Such as high blood pressure? Obesity? High blood sugar because of inconsistent control? This failure to distinguish between Type 1 and Type 2 is sloppy.

I’m afraid it doesn’t, it says 26% had diabetes, the biggest % on overall deaths from hospitals, then the next largest % is dementia.

Alex

That's unfortunate. Because without an analysis which differentiates between Type 1 and Type 2, without an analysis which includes whether comorbidities such as obesity, hypertension, etc, (the 'trifecta' which often accompanies Type 2) were present? It doesn't help Type 1s much. Neither does the ubiquitous conflation of the word diabetes when it is being used as a synonym for Type 2s.

Apparently the headline figures are being followed up with more detailed information in a journal (I think the BMJ- but wouldn't swear to it) next week.

So basically there was no need to lock up the young, fit and healthy and destroy their livelihoods.

"But I don't having dementia makes people more susceptible."

They will have difficulties in understanding and communicating so will be more at risk for those reasons than someone the same age but without dementia. The data doesn't include care home deaths so the percentage would be higher if those were included.

@fallfallfall hypertension is categorically not heart disease. To check I wasn’t going mad I just googled for verification.

It can lead to heart disease.

I have chronic respiratory disease and I am in shielding. I had covid. I didn't go to hospital. I was unwell for a month but I'm alive and well! The risk internationally is still that 85% are ok. I'd far rather have covid with diagnosed copd as I was on medication, which I personally think did help me through it.

flamingo I do suspect fall knows better than NHS & WHO

@MsSafina even less risk if you are female, 4 females have died in UK under the age of 19, most of those had quite serious underlying health problems.