Concluded Case

COVID-19 Treatment of Diabetic Patient

47Y(M), T2DM (HbA1C-6.2), Covid-19 (+Ve) at Home isolation, SPO2 was more rhan 95% (Day 1 to 13). Today is 13th day- onset of symptoms (Fever was 102 to 104 F, mild to moderate coughing and throat problem on 3rd to 7th day), than patient have improve their symptom like no fever, coughing subside, no throat problem but Since 2days(DAY 11th to 13th) - these is fever with chill and rigor(morning & evening), throat irritation, SPo2>97% Patient have taken -1. Tab Azithral 500 od for 5day. 2. Tab HCQS 200 2TAB BD DAY 1ST THAN 1TAB BD FOR 4DAYS, TAB MONTINA-L, SYRUP GRILINCTUS-BM, TAB LIMCEE, CAP ZINCOVIT... OTHER TEST REPORT ARE- WNR PRESENTY TAKING - TAB AUGMETIN 625 TDS, TAB PCM - 650 And Vitamin Cap Please - given me suggestion of treatment or what to do.

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Concluded answer

Needs admission in COVID ward for observation and investigation. CT chest, DDimer, ferritin, CRP, LDH, S creatinine, S Uric acid , need to be done. Fabiflu may have to be started. Contacts have to be checked for COVID ,

All Answers

Insulin has effect and reducing ACE2 receptor and insulin decreases binding of SARS COV 2 to ACE2 receptor Therefore, Insulin is potent therapeutic agent against COVID 19 Please consider adding Glargine insulin 4 units once a day There appears Superadded infection Consider sending Procalcitonin - Procalcitonin is normal in COVID 19 but it increases when there is Superadded bacterial infection Consider giving IV antibiotics of Procalcitonin is raised Tablet Ecosprin 75 mg once daily - many manifestation of COViD 19 are due to thrombosis - ecosprin is importing m important in preventing thrombosis

Thank you so much.. Dr Jayesh sir..
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Agree with@Jayesh Kalbhande sir

Thank you sir...
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AGREE WITH.. DR.. JAYESH KALBHANDE SIR..

Thank you sir...
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@Akram Khan

Thank you Ma'am...
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Needs admission in COVID ward for observation and investigation. CT chest, DDimer, ferritin, CRP, LDH, S creatinine, S Uric acid , need to be done. Fabiflu may have to be started. Contacts have to be checked for COVID ,

Thank you sir...
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