Stay Safe with Diabetes during Coronavirus

1. Stay Safe with Diabetes during Coronavirus Stay Safe with Diabetes during Coronavirus The impact of coronavirus pandemic in Australia has changed our way of living. While many people held onto their normal routine and lifestyle for as long as possible, others have retreated as early as they possibly could. Among those retreating early and observing extra hygiene measures, are those who know they are at higher risk of contracting a virus and have a lower chance of recovery in comparison with the rest of the population. People with underlying health conditions, like cardiovascular disease, pulmonary conditions like asthma and chronic bronchitis, as well as those with chronic and autoimmune conditions, like diabetes could develop more severe symptoms and complications. Understanding Diabetes Diabetes has very little to do with the respiratory system, which leaves many people wondering how this condition means people are at higher risk of complications should they contract coronavirus. Diabetes is an autoimmune condition which is divided into two main types, type 1 diabetes and type 2 diabetes. Type 1 Diabetes Type 1 is characterised by the way in which the immune system attacks its own cells, the beta cells in the islets of Langerhans in the pancreas. These cells are responsible for producing insulin, the hormone which enables sugar to move out of the bloodstream and into the cells where it is burned for energy. When the beta cells are under attack, there is no insulin and the sugar builds up in the blood. This leads to a state of toxicosis which is damaging to many areas of the body and results in important functions being suppressed and undermined, like the immune system. Type 2 Diabetes Type 2 diabetes is characterised by a body that still produces insulin but either insufficient amounts, or, the insulin that is available is unable to move into the cells and transport glucose out of the bloodstream. This can be due to

2. hormonal imbalances, too much fat around the cells, and a hardened cell wall. Type 2 diabetes is usually accompanied by elevated inflammation levels in the body leading to irregular immune function. Crucial Body Functions & Diabetes Both types of diabetes come with compromised immune functions. The body is less capable of fighting off simple illnesses that are caused by viruses and bacteria. Even the most well-controlled diabetics will occasionally have a spike in blood sugar levels, that is the nature of the disease. Elevated blood sugar levels make infection risks far higher. Many diabetics also have some of the side effects that are caused by how blood sugars, like heart disease and nerve damage. Such conditions can also decrease the body’s ability to fight illness and rebuild and recover. This means that diabetics have a far higher risk of running into complications if they are exposed to coronavirus. How can you stay safe? ● Take your medication regularly ● Continue accessing your diabetes healthcare team, even in self-isolation ●Have at least a month’s worth of medication at home to minimise the need for trips outside. Ask your family members to get it on your behalf. ● Check your blood sugars regularly, stress can wreak havoc with blood sugar levels ● Practise good hygiene by washing your hands and sanitising as often as possible ● Engage in social distancing ● Eat lots of fresh produce to keep your body’s vitamin stores up ● Add a vitamin C and vitamin D supplement to your regimen to further support your immune system ● Wash your hands and sanitise as often as possible Diabetes and telehealth

3. In response to Covid-19, the Australian Government has introduced new Medicare-funded telehealth services to allow you to have a medical consultation with your healthcare professional without leaving home. You now can speak to your GP, CDE’s, nurse, psychologists and other health professionals in a phone or video consultation. As a diabetic, you will be able to continue to access essential health services while reducing potential exposure to Covid-19. This service will be available until the 30th of September without extra costs. Contact your healthcare professional and discuss your options. If you would like to know more, visit the Department of Health Website. The National Diabetes Service Scheme Helpline is extending its hours to be able to give you more support during the COVID-19 outbreak. You can contact them from 8:30am to 8:00pm Monday to Friday and from 9:00am to 2:00pm on Saturday on 1800 637 700. Conclusion Be gentle with yourself, these are challenging times. There is no right way to feel about this pandemic. If you are overwhelmed, anxious, or finding it difficult to manage your diabetes, reach out for help.