The coronavirus disease 2019 (COVID-19) pandemic has immediate implications for people with diabetes. Diabetes diminishes immune function, which contributes to a higher risk of severe COVID-19 infection requiring intensive care and a higher fatality rate than is associated with people who do not have diabetes. 1, 2, 3, Glycaemic control can also be challenging with COVID-19, placing more burden on a fatigued health-care system. Simultaneously, people with diabetes cannot receive standard care because of resource diversion towards COVID-19. Key challenges for diabetes care during the pandemic include reduced access to health care, education, investigations, monitoring supplies, medications, and vaccinations. Furthermore, isolation measures result in increased food intake, reduced physical activity, irregular schedules translating to glycaemic deterioration, and increased anxiety and depression.



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