Hyperglycemia and insulin use in patients with COVID-19 and severe hypoxemia allocated to 12 mg vs. 6 mg of dexamethasone: a secondary analysis of the COVID STEROID 2 randomized trial.

Publication date: Jul 15, 2025

While dexamethasone has been shown to improve survival in COVID-19, its dose-response relationship with plasma glucose (PG) levels and insulin requirements is poorly understood. This study investigated the impact of 12 mg (higher dose) versus 6 mg (standard dose) of dexamethasone on hyper- or hypoglycemic events and the use of insulin. A secondary analysis of a subpopulation of the COVID STEROID 2 trial. Glycemic outcomes were assessed by time-to-event analysis of a hyperglycemic (two PG measurements ≥ 11. 1 mmol/L), severe hyperglycemic (PG > 20 mmol/L), hypoglycemic (

Concepts Keywords
Covid Adverse events
Insulin COVID-19
Measurements11 COVID-steroid 2 trial
Severe Dexamethasone treatment
Steroid Hyperglycemia
Hypoglycemia
Insulin
Secondary analysis

Semantics

Type Source Name
disease MESH Hyperglycemia
disease MESH COVID-19
disease MESH hypoxemia
drug DRUGBANK Dexamethasone
drug DRUGBANK Dextrose unspecified form
disease MESH Hypoglycemia

Original Article

(Visited 2 times, 1 visits today)