COVID-19 Vaccines and Hyperglycemia—Is There a Need for Postvaccination Surveillance?

The COVID-19 vaccines currently in use have undoubtedly played the most significant role in combating the SARS-CoV-2 virus and reducing disease severity and the risk of death among those affected, especially among those with pre-existing conditions, such as diabetes. The management of blood glucose...

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Main Authors: Samson Mathews Samuel, Elizabeth Varghese, Chris R. Triggle, Dietrich Büsselberg
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/3/454
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author Samson Mathews Samuel
Elizabeth Varghese
Chris R. Triggle
Dietrich Büsselberg
author_facet Samson Mathews Samuel
Elizabeth Varghese
Chris R. Triggle
Dietrich Büsselberg
author_sort Samson Mathews Samuel
collection DOAJ
description The COVID-19 vaccines currently in use have undoubtedly played the most significant role in combating the SARS-CoV-2 virus and reducing disease severity and the risk of death among those affected, especially among those with pre-existing conditions, such as diabetes. The management of blood glucose levels has become critical in the context of the COVID-19 pandemic, where data show two- to threefold higher intensive care hospital admissions and more than twice the mortality rate among diabetic COVID-19 patients when compared with their nondiabetic counterparts. Furthermore, new-onset diabetes and severe hyperglycemia-related complications, such as hyperosmolar hyperglycemic syndrome (HHS) and diabetic ketoacidosis (DKA), were reported in COVID-19 patients. However, irrespective of the kind of vaccine and dosage number, possible vaccination-induced hyperglycemia and associated complications were reported among vaccinated individuals. The current article summarizes the available case reports on COVID-19 vaccination-induced hyperglycemia, the possible molecular mechanism responsible for this phenomenon, and the outstanding questions that need to be addressed and discusses the need to identify at-risk individuals and promote postvaccination monitoring/surveillance among at-risk individuals.
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spelling doaj.art-b699463d71c945d3a1eb916ab205f8d52023-11-30T22:43:10ZengMDPI AGVaccines2076-393X2022-03-0110345410.3390/vaccines10030454COVID-19 Vaccines and Hyperglycemia—Is There a Need for Postvaccination Surveillance?Samson Mathews Samuel0Elizabeth Varghese1Chris R. Triggle2Dietrich Büsselberg3Department of Physiology and Biophysics, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, Doha P.O. Box 24144, QatarDepartment of Physiology and Biophysics, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, Doha P.O. Box 24144, QatarDepartment of Pharmacology, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, Doha P.O. Box 24144, QatarDepartment of Physiology and Biophysics, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, Doha P.O. Box 24144, QatarThe COVID-19 vaccines currently in use have undoubtedly played the most significant role in combating the SARS-CoV-2 virus and reducing disease severity and the risk of death among those affected, especially among those with pre-existing conditions, such as diabetes. The management of blood glucose levels has become critical in the context of the COVID-19 pandemic, where data show two- to threefold higher intensive care hospital admissions and more than twice the mortality rate among diabetic COVID-19 patients when compared with their nondiabetic counterparts. Furthermore, new-onset diabetes and severe hyperglycemia-related complications, such as hyperosmolar hyperglycemic syndrome (HHS) and diabetic ketoacidosis (DKA), were reported in COVID-19 patients. However, irrespective of the kind of vaccine and dosage number, possible vaccination-induced hyperglycemia and associated complications were reported among vaccinated individuals. The current article summarizes the available case reports on COVID-19 vaccination-induced hyperglycemia, the possible molecular mechanism responsible for this phenomenon, and the outstanding questions that need to be addressed and discusses the need to identify at-risk individuals and promote postvaccination monitoring/surveillance among at-risk individuals.https://www.mdpi.com/2076-393X/10/3/454COVID-19diabetesdiabetic ketoacidosishyperglycemiahyperosmolar hyperglycemic syndromeSARS-CoV-2
spellingShingle Samson Mathews Samuel
Elizabeth Varghese
Chris R. Triggle
Dietrich Büsselberg
COVID-19 Vaccines and Hyperglycemia—Is There a Need for Postvaccination Surveillance?
Vaccines
COVID-19
diabetes
diabetic ketoacidosis
hyperglycemia
hyperosmolar hyperglycemic syndrome
SARS-CoV-2
title COVID-19 Vaccines and Hyperglycemia—Is There a Need for Postvaccination Surveillance?
title_full COVID-19 Vaccines and Hyperglycemia—Is There a Need for Postvaccination Surveillance?
title_fullStr COVID-19 Vaccines and Hyperglycemia—Is There a Need for Postvaccination Surveillance?
title_full_unstemmed COVID-19 Vaccines and Hyperglycemia—Is There a Need for Postvaccination Surveillance?
title_short COVID-19 Vaccines and Hyperglycemia—Is There a Need for Postvaccination Surveillance?
title_sort covid 19 vaccines and hyperglycemia is there a need for postvaccination surveillance
topic COVID-19
diabetes
diabetic ketoacidosis
hyperglycemia
hyperosmolar hyperglycemic syndrome
SARS-CoV-2
url https://www.mdpi.com/2076-393X/10/3/454
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AT elizabethvarghese covid19vaccinesandhyperglycemiaisthereaneedforpostvaccinationsurveillance
AT chrisrtriggle covid19vaccinesandhyperglycemiaisthereaneedforpostvaccinationsurveillance
AT dietrichbusselberg covid19vaccinesandhyperglycemiaisthereaneedforpostvaccinationsurveillance