Developed by Pfizer

This information is for people with:
type 1 or type 2 diabetes

Know the
relationship between
type 1 or type 2 diabetes
and COVID-19

COVID-19 spreads fast. In some people it can start with mild symptoms and quickly progress to more severe disease.

What is COVID-19?

Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus.1 If you are infected with the virus, you will most likely experience mild to moderate respiratory illness.1
Most people can expect to get better without needing special treatment, but some people can become very sick and require medical attention.1

Are you at increased risk?

3 in 5 (60%)

adults in the United States
have a chronic disease2

The older you are, the greater the chance of having at least one medical condition that can put you at high risk of getting very sick from COVID-19.3

The likelihood of having one or more such medical conditions increases by3:

10%

for people up to and including age 25 years

33%

for people up to and including age 50 years

66%

for people up to and including age 70 years

You are more likely to develop serious illness from COVID-19 if you have a condition or risk factor like4:

Age

50 years or older

Age

Immuno-compromised condition

Weakened immune system

Immunocompromised condition

Cancer

Current or past

Cancer

Lung disease

Such as asthma (moderate to severe)

Lung disease

Overweight or obese

Body Mass Index
(BMI) >25

Overweight or obese

Racial and ethnic disparities

Demographics and health equity

Racial and ethnic disparities

Heart conditions

Heart failure, coronary artery disease, cardiomyopathies

Heart conditions

Diabetes

Type 1 or Type 2

Diabetes

This list does not include all possible conditions.

If you have diabetes, heart disease, lung disease, or cancer and you get COVID-19, you are more likely to4-8:

Get very sick

Be hospitalized

Need a machine to help you breathe

Need intensive care

Die

The number of high-risk medical conditions you have increases your risk of death from COVID-194,7:

Number of high-risk
medical conditions7

Risk of death7

0

1x

1

1.5x

2-5

2.6x

6-10

3.3x

10+

3.8x

the risk of death

COVID-19 and
type 1 and type 2 diabetes

If you have diabetes, you may have other conditions such as9:

When people with diabetes develop a viral infection, like COVID-19, it can be harder to treat due to changes in blood glucose levels. This can be because10:

The immune system is being compromised, which makes it harder to fight infections and leads to longer recovery periods.

The virus may thrive in an environment of high blood glucose.

If you have type 1 or type 2 diabetes, you are:

2-4x

more likely to get very sick
from COVID-19 than a person
who does not have diabetes.9

almost

1.75x

 

more likely to die
compared with someone
who does not have diabetes.11

more than

12%

 

of people with diabetes and
COVID-19 needed a machine
(ventilator) to help them breathe.11

almost

19%

 

 

of people with diabetes
and COVID-19 spent time in an
intensive care unit.11

 

 

If you think you have been infected with
COVID-19, remember to ACT fast.

A
Assess
C
Confirm
T
Talk

Assess for COVID-19 symptoms and your risk factors like type 1 or type 2 diabetes

If you have been exposed to COVID-19, you may start having symptoms 2 to 14 days after exposure.12 COVID-19 symptoms can be similar to other infections, like the flu.13

If you have flu-like symptoms, it may be COVID-19.12
Symptoms of COVID-19 can look like13:

Muscle or
body aches

Shortness of
breath or difficulty breathing

Congestion or
runny nose

Cough

Diarrhea

Fatigue

Fever or chills

Headache

Nausea or
vomiting

New loss of smell and/or taste

Sore throat

Confirm that you have COVID-19 with your healthcare professional

If you have any COVID-19 symptoms or test positive, talk to your healthcare professional right away.14

If you do not have symptoms but think you've been exposed to COVID-19, wait at least 5 full days after exposure and then test for COVID-19 infection.14

If you have COVID-19, do not delay. Even if your symptoms are mild, treatment must be started within days after you first develop symptoms to be effective.15

If you find it hard to breathe, get immediate medical attention.16

Talk to your healthcare professional about treatment options

Treatment options for COVID-19 can be discussed to see if one is right for you.16

These treatments must be taken within days if you begin having symptoms.16

This is why it is so important to contact your healthcare professional as soon as possible.16

References

  1. World Health Organization. Coronavirus disease (COVID-19). Accessed October 12, 2022. https://www.who.int/health-topics/coronavirus#tab=tab_1
  2. Centers for Disease Control and Prevention. Chronic diseases in America. Reviewed May 6, 2022. Accessed October 12, 2022. https://www.cdc.gov/chronicdisease/resources/infographic/chronic-diseases.htm
  3. Clark A, Jit M, Warren-Gash C, et al. How many are at increased risk of severe COVID-19 disease? Rapid global, regional and national estimates for 2020. Posted April 22, 2020. Accessed October 13, 2022. https://doi.org/10.1101/2020.04.18.20064774
  4. Centers for Disease Control and Prevention. People with certain medical conditions. Updated September 2, 2022. Accessed October 12, 2022. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html#:~:text=Older%20adults%20are%20at%20highest,18%2D29%20years
  5. Centers for Disease Control and Prevention. Basics of COVID-19. Updated November 4, 2021. Accessed October 12, 2022. https://www.cdc.gov/coronavirus/2019-ncov/your-health/about-covid-19/basics-covid-19.html
  6. European Centre for Disease Prevention and Control. Risk factors and risk groups. Updated January 21, 2022. Accessed October 12, 2022. https://www.ecdc.europa.eu/en/covid-19/latest-evidence/risk-factors-risk-groups
  7. Centers for Disease Control and Prevention. Underlying medical conditions associated with higher risk for severe COVID-19: information for healthcare professionals. Updated June 15, 2022. Accessed October 12, 2022. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinicalcare/underlyingconditions.html
  8. Gao YD, Ding M, Dong X, et al. Risk factors for severe and critically ill COVID-19 patients: a review. Allergy. 2021;76(2):428-455. doi:10.1111/all.14657
  9. Landstra CP, de Koning EJP. COVID-19 and diabetes: understanding the interrelationship and risks for a severe course. Front Endocrinol (Lausanne). 2021;12:649525. doi:10.3389/fendo. 2021.649525
  10. International Diabetes Federation. COVID-19 and diabetes. Updated September 21, 2020. Accessed October 12, 2022. https://www.idf.org/aboutdiabetes/what-is-diabetes/covid-19-and-diabetes/1-covid-19-and-diabetes.html
  11. Kastora S, Patel M, Carter B, Delibegovic M, Myint PK. Impact of diabetes on COVID-19 mortality and hospital outcomes from a global perspective: an umbrella systematic review and meta-analysis. Endocrinol Diabetes Metab. 2022;5(3):e00338. doi:10.1002/edm2.338
  12. Centers for Disease Control and Prevention. Symptoms of COVID-19. Updated August 11, 2022. Accessed October 12, 2022. https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
  13. Centers for Disease Control and Prevention. Similarities and differences between flu and COVID-19. Reviewed September 28, 2022. Accessed October 12, 2022. https://www.cdc.gov/flu/symptoms/flu-vs-covid 19.htm
  14. Centers for Disease Control and Prevention. What to do if you were exposed to COVID-19. Updated August 24, 2022. Accessed October 31, 2022. https://www.cdc.gov/coronavirus/2019-ncov/your-health/if-you-were-exposed.html
  15. Centers for Disease Control and Prevention. COVID-19 treatments and medications. Updated August 5, 2022. Accessed October 12, 2022. https://www.cdc.gov/coronavirus/2019-ncov/your-health/treatments-for-severe-illness.html
  16. World Health Organization. COVID-19: symptoms and severity. Updated April 18, 2022. Accessed October 12, 2022. https://www.who.int/westernpacific/emergencies/covid-19/information/asymptomatic-covid-19