New Delhi: As cases of mucormycosis or black fungus have been reported in Covid-19 patients with uncontrolled diabetes, the Union Ministry of Health has created clinical guidance on the diagnosis and treatment of diabetes in Covid-19 patients.
People with diabetes can experience hyperglycemia or high blood sugar, which can put them at further risk for black fungus. The government has therefore ordered that Covid-19 patients with a history of diabetes should be monitored in hospitals and treated accordingly.
“On admission, examine each patient for hyperglycaemia with at least two capillary blood glucose values (1 before and 1 after the meal) with a blood glucose meter. Every diabetic should follow a diabetic diet. Please ensure that the patient strictly adheres to the timing and amount given in the diet table, “said the Ministry of Health in its guidelines.
The government said that patients with a normal initial glycemic profile may develop stress hyperglycemia as the disease progresses, especially as the severity of Covid-19 infection increases. In addition, the use of glucocorticoids to treat the underlying disease can also contribute to hyperglycemia in some cases. In such cases, the government has recommended that blood sugar levels be repeated, even if the initial reading is normal. Therefore, glycemic assessment should be an ongoing dynamic process and not a one-off event.
The detailed guidelines for medical facilities and doctors treating Covid-19 patients have been uploaded to the Department of Health and Family Welfare website.
As of May 24, at least 5,424 cases of mucormycosis had been reported from 18 states, with Gujarat and Maharashtra recording the highest numbers. Of these, 4,556 cases had a history of Covid-19 infection, the rest are non-Covid cases, with 55% of those affected suffering from diabetes, according to data from the Union’s Ministry of Health.
The director of the All India Institute of Medical Sciences (AIIMS), Randeep Guleria, had previously said that 90% -95% of patients who contracted mucormycosis were either diabetic and / or were taking steroids. “This infection is very rarely seen in people who are neither diabetic nor taking steroids,” said Guleria.
Meanwhile, India has reported 1,14,460 new Covid-19 cases in the past 24 hours. This is the lowest value in the past two months. The country’s active case number on Sunday was 14,77,799. A net decrease of 77,449 has been observed in the past 24 hours, and active cases now account for only 5.13% of the country’s total positive cases.
India has performed over 184.108.40.2062 tests to date with a total of 20.36.311 tests performed in the last 24 hours. The weekly positivity rate is currently 6.54%, while the daily positivity rate on Sunday remained at 5.62%. Over 23.13 million vaccine doses were administered as part of the nationwide vaccination campaign, with 33,53,539 vaccine doses administered in the past 24 hours.
The central government said it has provided more than 24 crore doses of vaccine (24,60,80,900) to various states and union territories. “Total consumption including waste is 220.127.116.11 cans as of June 6th. More than 1.63 million Covid-19 vaccine doses (18.104.22.1681) are still available in the states and Union territories, “the Union Department of Health said in a statement on Sunday.
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