根据专家,这是1型和2型糖尿病。

通过琥珀Brenza
2020年3月13日更新
广告

演员汤姆·汉克斯周三晚上在Instagram上发布消息称,他和妻子丽塔·威尔逊被诊断出患有癌症冠状病毒病或在澳大利亚期间感染COVID-19。

63岁的汉克斯分享了这一消息,并附上了一张照片,照片上的废纸篓里有一双手术手套,旁边似乎是某种生物危害袋。“我们觉得有点累,好像感冒了,身体有些疼,”他写道。“丽塔的寒意来了又去。轻微的发烧。”

努力保持自己和他们周围的人安全,汉克斯表示,他和威尔逊也寻求医疗注意 - 在此期间,他们稍后每次被诊断为Covid-19。“为了发挥作用,正如现在世界所需要的那样,我们是检测冠状病毒他写道。

汉克斯继续说,他和威尔逊正在遵循医务人员推荐的所有必要预防措施:“医疗官员有必须遵循的议定书,”他写道。只要公共卫生和安全要求,就会测试,观察和孤立的“我们汉克斯”。它比一个日常的方法更加糟糕,没有?“

后来,周四,汉克斯与他和他的妻子在做的事情上更新了他的粉丝:“我们有Covid-19并孤立,所以我们不会将它传播给其他人,”他写道。“有些人可以导致一个非常严重的疾病。我们在一次一天的时间里服用它。”

显然,汉克斯和威尔逊似乎没事,但他们被诊断出COVID-19的消息——尤其是汉克斯的——让他的粉丝们特别担心,主要是因为汉克斯之前透露过他很担心2型糖尿病,其中之一先前存在的条件那个疾病控制和预防中心(美国疾病控制与预防中心),可能会增加COVID-19导致严重疾病的风险。

汉克斯在一次采访中首次透露了他的2型糖尿病诊断《大卫·莱特曼深夜秀早在2013年,根据今天他没有说明他的病情对他目前的COVID-19诊断有什么影响,如果有的话。尽管如此,糖尿病患者总体上仍面临感染导致的COVID-19并发症和严重疾病的风险增加。

什么是糖尿病?为什么糖尿病会增加患COVID-19严重疾病的风险?

1型和2型糖尿病是一种当你的血糖或血糖水平过高时发生的疾病国家糖尿病、消化和肾脏疾病研究所(NIDDK)。当你的身体没有产生足够(或任何)的胰岛素时,就会发生这种情况。胰岛素是胰腺产生的一种激素,帮助身体从你吃的食物中获取葡萄糖,并将其转化为细胞的能量。当你的身体不能将食物中的葡萄糖转移到你的细胞中,它就会在血液中积聚,这就会导致健康问题,比如心脏疾病、中风和肾脏疾病等等。

升高或血糖水平波动的部分原因是糖尿病患者正处于从COVID-19-and严重疾病的风险增加,根据玛丽亚Pena,医学博士,西奈山的内分泌服务主管医生森林山,这些风险存在的1型和2型糖尿病(尽管那些1型糖尿病可能更敏感)。

国际糖尿病基金会(IDF),补充说,当患有糖尿病的人发育任何类型的病毒感染时(包括Covid-19),它可能更难以治疗两个原因:这个人的免疫系统受到损害,使他们的身体更难以打击病毒可以导致更长的恢复期;并且这种病毒可能在血糖水平升高的环境中茁壮成长。

Pena博士说,糖尿病的糖尿病患者在其身体上的炎症水平提高了,这也可以将糖尿病患者纳入其中的风险。“如果你有病毒感染,那可以更容易进入肺炎,因为糖尿病本身是一种炎症疾病,”她说。值得注意的是,当一个人有糖尿病时,压力发作,如病毒感染,可以增加血糖水平,这也可以导致并发症。

糖尿病患者应该如何预防COVID-19?

尽管每个人都应该在病毒爆发期间采取预防措施,无论是否已有任何疾病,IDF表示,预防措施对糖尿病患者或与糖尿病患者密切接触的人来说尤为重要。这些基本的预防措施(同样,每个人现在都应该做的)包括彻底和频繁地洗手,尽可能避免接触你的脸,清洁和消毒经常接触的表面,并避免与那些有呼吸道疾病症状的人密切接触。

然而,根据IDF,有一些额外的预防措施可以采取糖尿病的措施。首先,重要的是要密切关注你的血糖水平 - 根据IDF,任何类型的感染都可以提高血糖水平并增加对水的需求,因此有足够的供应是明智的。那些糖尿病的人还应该确保他们有足够的药物和测试用品至少一个月,以便在检疫或隔离情况。食物供应也是如此,以及迅速纠正血糖滴的能力。根据IDF,外部支持也是必不可少的,这建议您周围的人知道您的病情,如果您生病,您可能需要帮助。

佩纳博士补充说,糖尿病患者应该格外严格地保持社交距离,或避免多人待在封闭空间的情况。“作为一名糖尿病患者,我会避开超市或其他公共集会,”她说。对于糖尿病和普通大众来说,了解COVID-19的症状,如发烧、呼吸急促、干咳和疲劳也是明智的。

如果你有糖尿病,并被诊断为COVID-19,你应该怎么做?

如果你开始感觉到COVID-19的症状,并可能已经接触到了,糖尿病患者联系他们的医生尤其重要。如果你的冠状病毒检测呈阳性,佩纳博士表示,开始并继续支持性护理很重要,包括服用药物缓解症状、保持水分和大量休息。

然而,在此之后,确诊为COVID-19的糖尿病患者应该采取一些额外的步骤,比如增加检查血糖水平的频率。“有时感染会自然地提高你的血糖,”佩纳医生说;这甚至可能是感染的第一个迹象。正因为如此,明智的做法是与你的医生保持联系,了解你的药物。“严重高糖和严重低糖的风险是可能的,所以他们的药物需要调整,”她说。

你也必须密切关注你的症状,并告知你的医生任何变化。如果你开始出现任何严重的症状,包括呼吸困难或呼吸急促,胸部持续疼痛或压力,新的意识混乱或无法唤起,嘴唇或面部发青,请立即联系你的医生美国糖尿病协会

然而,有一件事你(和你身边的任何人)不应该做,那就是恐慌。美国疾病控制与预防中心和世界卫生组织坚持认为,最好的做法是了解冠状病毒的新发展,并听取他们的建议,以及你见过的任何医生的建议,无论是预防疾病还是加快你的康复。

截至发稿时,这篇报道中的信息是准确的。然而,随着围绕COVID-19的形势继续发展,一些数据可能自发布以来发生了变化。在《健康》杂志努力使我们的故事尽可能最新的同时,我们也鼓励读者通过使用疾病预防控制中心WHO以及当地的公共卫生部门作为资源。

让我们的顶级故事发送到您的收件箱,注册健康生活通讯

The virus that causes COVID-19 is called SARS-CoV-2, short for severe acute respiratory syndrome coronavirus 2. It is a type of coronavirus similar to the one that causes SARS, or severe acute respiratory syndrome.

" }, { "answer_choices": [ { "answer_title": "Fever or chills", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 1736, "lastModified": "2021-08-04T20:27:47.000Z" } }, { "answer_title": "Fever dreams", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 88433, "lastModified": "2021-08-05T00:07:19.000Z" } }, { "answer_title": "Diarrhea or loose stools", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 16630, "lastModified": "2021-08-04T21:57:03.000Z" } }, { "answer_title": "Breathing difficulties or shortness of breath", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 2306, "lastModified": "2021-08-04T22:10:15.000Z" } } ], "answer_type": "text", "question_title": "This is not a possible symptom of COVID-19:", "question_id": "Q2", "answer_description": "

You might have wild dreams when you're ill—fever can do that. But bizarre or emotionally intense fever dreams are not recognized as a symptom of COVID-19.

" }, { "answer_choices": [ { "answer_title": "Wear a mask", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 6886, "lastModified": "2021-08-04T22:10:15.000Z" } }, { "answer_title": "Wash your hands", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 42251, "lastModified": "2021-08-04T20:27:47.000Z" } }, { "answer_title": "Maintain social distance from others", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 6282, "lastModified": "2021-08-04T15:16:21.000Z" } }, { "answer_title": "Wipe down groceries packaged in cardboard or plastic wrap with bleach", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 53687, "lastModified": "2021-08-05T00:07:19.000Z" } } ], "answer_type": "text", "question_title": "To slow the spread of COVID-19, don't do this:", "question_id": "Q3", "answer_description": "

CDC specifically warns against using disinfecting products on food or food packaging. You don't want to accidentally taint your food. Plus, the risk of COVID-19 from handling or consuming food is thought to be low. Use disinfectants like bleach to wipe down tables, countertops, and faucets

" }, { "answer_choices": [ { "answer_title": "A multi-layer medical procedure mask (aka a surgical mask or disposable face mask)", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 8744, "lastModified": "2021-08-04T23:37:13.000Z" } }, { "answer_title": "A mask with a vent or valve", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 78283, "lastModified": "2021-08-05T00:07:19.000Z" } }, { "answer_title": "A cloth mask made of two or more breathable, washable layers", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 17043, "lastModified": "2021-08-04T23:16:58.000Z" } }, { "answer_title": "A cloth mask over a surgical mask", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 5035, "lastModified": "2021-08-04T22:10:15.000Z" } } ], "answer_type": "text", "question_title": "Which masking option is least effective for stopping the spread of COVID-19?", "question_id": "Q4", "answer_description": "

If your mask has a vent or valve, respiratory particles may escape and reach other people. Opt instead for a well-fitting mask with multiple layers, or wear a cloth mask over a disposable mask to secure the underlying mask to your face.

" }, { "answer_choices": [ { "answer_title": "Anal swab testing", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 92864, "lastModified": "2021-08-05T00:07:19.000Z" } }, { "answer_title": "Nasal swab testing", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 11221, "lastModified": "2021-08-04T23:27:27.000Z" } }, { "answer_title": "Saliva testing", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 2997, "lastModified": "2021-08-04T23:59:39.000Z" } }, { "answer_title": "Throat swab testing", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 2023, "lastModified": "2021-08-04T20:56:17.000Z" } } ], "answer_type": "text", "question_title": "Which COVID-19 screening method is not routinely in use in the US?", "question_id": "Q5", "answer_description": "

Most diagnostic tests rely on mucus collected from your nose or throat, and some use saliva that you spit into a test tube. While China is using anal swab testing, that method hasn't caught on in the US.

" }, { "answer_choices": [ { "answer_title": "2 to 12 hours", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 4894, "lastModified": "2021-08-04T22:52:12.000Z" } }, { "answer_title": "3 days", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 23253, "lastModified": "2021-08-04T23:59:39.000Z" } }, { "answer_title": "14 days", "correct_answer": true, "answer_id": "A3", "answer_value": 1, "$vf_selected_count": { "value": 80170, "lastModified": "2021-08-05T00:07:19.000Z" } }, { "answer_title": "30 days", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 789, "lastModified": "2021-08-03T04:50:42.000Z" } } ], "answer_type": "text", "question_title": "How long is the incubation period—the amount time from when you are infected with the novel coronavirus to when you exhibit symptoms?", "question_id": "Q6", "answer_description": "

The incubation is thought to be 14 days, with a median of 4 to 5 days. (But keep in mind that some people never develop symptoms).

" }, { "answer_choices": [ { "answer_title": "A variant", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 70944, "lastModified": "2021-08-05T00:07:19.000Z" } }, { "answer_title": "A high viral load", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 9432, "lastModified": "2021-08-04T21:15:44.000Z" } }, { "answer_title": "A vaccine", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 11307, "lastModified": "2021-08-04T19:59:09.000Z" } }, { "answer_title": "Another virus, like influenza", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 17423, "lastModified": "2021-08-04T20:00:33.000Z" } } ], "answer_type": "text", "question_title": "A mutated version of the virus that causes COVID-19 is called:", "question_id": "Q7", "answer_description": "

Variants of the virus that causes COVID-19 have been identified in the US and around the world. Scientists are studying these variants to learn how they spread and whether current vaccines will protect against them.

" }, { "answer_choices": [ { "answer_title": "Researchers have coined the term \"coronaphobia\" to describe the fear of contracting COVID-19", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 8513, "lastModified": "2021-08-04T21:15:44.000Z" } }, { "answer_title": "The virus that causes COVID-19 can sometimes spread through tiny airborne particles", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 14326, "lastModified": "2021-08-04T23:05:16.000Z" } }, { "answer_title": "The term \"long-haulers\" refers to people who experience long-term coronavirus symptoms", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 5734, "lastModified": "2021-08-04T23:32:37.000Z" } }, { "answer_title": "COVID-19 is just like having the seasonal flu", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 80534, "lastModified": "2021-08-05T00:07:19.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements is false?", "question_id": "Q8", "answer_description": "

Early on, some people speculated that the novel coronavirus would behave like the seasonal flu. Now we know COVID-19 is much more contagious and spreads more rapidly than influenza.

" }, { "answer_choices": [ { "answer_title": "Women who want to become pregnant some day", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 10853, "lastModified": "2021-08-04T21:03:11.000Z" } }, { "answer_title": "Anyone who has had a severe allergic reaction (anaphylaxis) to any vaccine ingredient", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 57481, "lastModified": "2021-08-05T00:07:19.000Z" } }, { "answer_title": "People who have recovered from COVID-19", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 9646, "lastModified": "2021-08-04T21:57:03.000Z" } }, { "answer_title": "People with underlying medical conditions", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 31126, "lastModified": "2021-08-05T00:04:17.000Z" } } ], "answer_type": "text", "question_title": "Who should not get a COVID-19 vaccine?", "question_id": "Q9", "answer_description": "

CDC does not recommend COVID vaccination if you've had a severe allergic reaction to any COVID vaccine ingredient. Contact your doctor if you have questions about whether it's safe for you to be vaccinated.

" }, { "answer_choices": [ { "answer_title": "You can't get COVID-19 from a COVID-19 shot", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 16626, "lastModified": "2021-08-04T22:30:11.000Z" } }, { "answer_title": "Side effects are generally mild and short-lived", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 6613, "lastModified": "2021-08-05T00:04:17.000Z" } }, { "answer_title": "It can take a few weeks after getting vaccinated for your body to build immunity to the virus", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 3995, "lastModified": "2021-08-04T21:15:44.000Z" } }, { "answer_title": "None of the above", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 81872, "lastModified": "2021-08-05T00:07:19.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements about COVID-19 are false?", "question_id": "Q10", "answer_description": "

Vaccination is safe, effective, and an important tool for beating the pandemic.

" } ], "description": "

News about the novel coronavirus is breaking nearly 24-7, which makes it challenging at best to keep up with the latest scientific evidence, especially when you're bombarded by false or misleading claims on social media. So how much do you really know about COVID-19? Take our quiz to gauge how knowledgeable you are.

", "gate": "none", "intro_page": true, "uuid": "c5d20a0c-6b54-4691-ac5b-7362b5c9e58c", "brand": "health", "headline": "Quiz: How Much Do You Know About Coronavirus?", "results": [ { "result_starting_range": 0, "button": { "_type": "button", "title": "Start Learning More", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 3, "result_description": "

Time to bone up on the basic facts about COVID-19. Check out our COVID-19 condition center and subscribe to our daily Healthy Living newsletter and never miss an update.

\n

More on COVID-19:

\n

Is the Coronavirus Worse Than the Flu? Here's How the Two Illnesses Compare

\n

Living Through a Pandemic: A Guide to Surviving the New Normal

\n

Coronavirus 101: Symptoms, Transmission, Severity and More

\n

While Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDCWHO, and their local public health department as resources.

", "result_title": "Not Much." }, { "result_starting_range": 4, "button": { "_type": "button", "title": "Learn Some More", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 6, "result_description": "

Not bad, but there’s much more to know about this illness. Subscribe to our daily Healthy Living newsletter and never miss an update.

\n

More on COVID-19:

\n

Is the Coronavirus Worse Than the Flu? Here’s How the Two Illnesses Compare

\n

Living Through a Pandemic: A Guide to Surviving the New Normal

\n

Coronavirus 101: Symptoms, Transmission, Severity and More

\n

While Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDCWHO, and their local public health department as resources.

", "result_title": "You Know Some Things About Some Things." }, { "result_starting_range": 7, "button": { "_type": "button", "title": "Stay Updated with Newsletters", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 8, "result_description": "

Terrific. Keep reading about COIVD-19 on Health.com and stay safe!

\n

More on COVID-19:

\n

Is the Coronavirus Worse Than the Flu? Here’s How the Two Illnesses Compare

\n

Living Through a Pandemic: A Guide to Surviving the New Normal

\n

Coronavirus 101: Symptoms, Transmission, Severity and More

\n

While Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDCWHO, and their local public health department as resources.

", "result_title": "You Are Certified to Debate on Social Media." }, { "result_starting_range": 9, "button": { "_type": "button", "title": "Sign Up for Newsletters", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 10, "result_description": "

You are definitely in the know! Keep coming back to Health.com for the latest information.

\n

More on COVID-19:

\n

Is the Coronavirus Worse Than the Flu? Here’s How the Two Illnesses Compare

\n

Living Through a Pandemic: A Guide to Surviving the New Normal

\n

Coronavirus 101: Symptoms, Transmission, Severity and More

\n

While Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDCWHO, and their local public health department as resources.

", "result_title": "You're a Know-it-All! " } ], "pqt_id": "cms/onecms_posts_health_7836984", "content_cms_id": "7700030", "registration_source": 20566, "amp_headline": "Quiz: How Much Do You Know About Coronavirus?", "type": "node-interactive-content", "meta": { "pinterest:media": "//www.dhljerseys.com/img/misc/og-generic.png", "og:image": "//www.dhljerseys.com/img/misc/og-generic.png", "og:image:width": null, "og:image:height": null, "twitter:image": "//www.dhljerseys.com/img/misc/og-generic.png", "description": "Quiz: How Much Do You Know About Coronavirus?" }, "social_headline": "Quiz: How Much Do You Know About Coronavirus?", "seo_headline": "Quiz: How Much Do You Know About Coronavirus?" }" data-cms-id="7836984" id="c5d20a0c-6b54-4691-ac5b-7362b5c9e58c">