COVID-19 vaccines and blood glucose control: Friend or foe?

COVID-19 vaccines and blood glucose control: Friend or foe?

Publication date: Dec 31, 2024

To overview the recent literature regarding the relationship between COVID-19 vaccines and glycemic control. Data were extracted from text and tables of all available articles published up to September 2023 in PubMed Database describing glucose homeostasis data in subjects exposed to COVID-19 vaccines, focusing on patients with diabetes mellitus (DM). It is debated if the immune system impairment observed in diabetic patients makes them susceptible to lower efficacy of vaccines, but evidence suggests a possible improvement in immune response in those with good glycemic control. Despite their proven protective role lowering infection rates and disease severity, COVID-19 vaccines can result in diabetic ketoacidosis, new-onset diabetes, or episodes of hyper- or hypoglycemia. Evidence with COVID-19 vaccines highlights the strong relationship existing between DM and immune system function. Clinicians should strive to achieve optimal glucose control before vaccination and promptly manage possible glucose homeostasis derangement following vaccine exposure.

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Concepts Keywords
Clinicians Blood Glucose
Diabetes Blood Glucose
Homeostasis COVID-19
Recent COVID-19
Vaccines COVID-19 Vaccines
COVID-19 Vaccines
Diabetes
Diabetes Mellitus
Glycemic Control
Humans
Hypoglycemia
immune system
immunosenescence
SARS-CoV-2
vaccine

Semantics

Type Source Name
disease MESH COVID-19
disease IDO blood
drug DRUGBANK Dextrose unspecified form
disease MESH diabetes mellitus
pathway REACTOME Immune System
disease IDO immune response
disease MESH infection
disease MESH diabetic ketoacidosis
disease MESH hypoglycemia
disease VO vaccination
disease VO vaccine
disease MESH Long Covid

Original Article

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