Thread by @Jandelliott, Dear @CDCgov; all people with diabetes are at increased risk from #COVID19. [...]

Dear @CDCgov; all people with diabetes are at increased risk from #COVID19. Please take another look at the evidence and prioritize all people living with diabetes re: COVID19 vaccination in your guidance to State officials https://docs.google.com/document/d/1J2wV2XSxy6fHTHxcS9uYzwPVOD26hAyDeZtbQedRQpQ/edit?usp=sharing #insulin4all #T1D #diabetes 1/10

Draft Letter to CDC on Diabetes Guidance 2021 01 04

Date Robert R. Redfield, MD Director of the Centers for Disease Control and Prevention Atlanta, Georgia Re: Recent evidence on type 1 diabetes and COVID-19 risk and the need to revise public guidance...

https://docs.google.com/document/d/1J2wV2XSxy6fHTHxcS9uYzwPVOD26hAyDeZtbQedRQpQ/edit?usp=sharing

Thanks to the following signatories for the support and in some cases completing the research on this subject, including @reboundhigh @armyofdan @parthaskar @hwitteman. Thanks to groups backing, incl @t1international @MutualAidBetes CF Foundation of Greater NY, plus... 2/10

#insulin4all chapters: @CAinsulin4all @CTinsulin4all @ILinsulin4all @KYinsulin4all @MAinsulin4all @NYinsulin4all @NCinsulin4all @OHinsulin4all @UTinsulin4all @WAinsulin4all. For further signatures contact @t1international to be added. Papers to follow 3/10

COVID-19 Severity Is Tripled in the Diabetes Community: A Prospective Analysis of the Pandemic's Impact in Type 1 and Type 2 Diabetes, by @reboundhigh @armyofdan + others at @VanderbiltU https://pubmed.ncbi.nlm.nih.gov/33268335/ 4/10

COVID-19 Severity Is Tripled in the Diabetes Community: A Prospective Analysis of the Pandemic's...

Diabetes status, both type 1 and type 2, independently increases the adverse impacts of COVID-19. Potentially modifiable factors (e.g., HbA1c) had significant but modest impact compared with compar...

https://pubmed.ncbi.nlm.nih.gov/33268335/

Associations of type 1 and type 2 diabetes with COVID-19-related mortality in England: a whole-population study, by Emma Barron, @parthaskar + others at @NHSEngland https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30272-2/fulltext 5/10

Associations of type 1 and type 2 diabetes with COVID-19-related mortality in England: a whole-po...

The results of this nationwide analysis in England show that type 1 and type 2 diabetes were both independently associated with a significant increased odds of in-hospital death with COVID-19.

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30272-2/fulltext

Risk factors for COVID-19-related mortality in people with type 1 and type 2 diabetes in England: a population-based cohort study, by Naomi Holman, @parthaskar + others @NHSEngland https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30271-0/fulltext 6/10

Risk factors for COVID-19-related mortality in people with type 1 and type 2 diabetes in England: a...

Deaths in people with type 1 and type 2 diabetes rose sharply during the initial COVID-19 pandemic in England. Increased COVID-19-related mortality was associated not only with cardiovascular and...

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30271-0/fulltext

Risks of and risk factors for COVID-19 disease in people with diabetes: a cohort study of the total population of Scotland, by Stuart McGurnaghan + others @NHSuk Scotland https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30405-8/fulltext 7/10

Risks of and risk factors for COVID-19 disease in people with diabetes: a cohort study of the total...

Overall risks of fatal or critical care unit-treated COVID-19 were substantially elevated in those with type 1 and type 2 diabetes compared with the background population. The risk of fatal or...

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30405-8/fulltext

Full Inequities in Diabetic Ketoacidosis among Patients with Type 1 diabetes and COVID-19: Data from 52 US Clinical Centers. By Ebekozien Agarwal + others https://academic.oup.com/jcem/advance-article/doi/10.1210/clinem/dgaa920/6042218 8/10

Full Inequities in Diabetic Ketoacidosis among Patients with Type 1 diabetes and COVID-19: Data...

AbstractObjective. We examined whether diabetic ketoacidosis (DKA), a serious complication of type 1 diabetes (T1D) was more prevalent among Non-Hispanic (NH) B

https://academic.oup.com/jcem/advance-article/doi/10.1210/clinem/dgaa920/6042218

Please also note coverage of this issue in @statnews today by @cooney_liz https://www.statnews.com/2021/01/11/for-people-with-type-1-diabetes-cdc-guidelines-for-covid-19-vaccine-priority-are-puzzling/ 9/10

For people with type 1 diabetes, CDC Covid guidelines are puzzling - STAT

The CDC's vaccine guidelines put people with type 1 diabetes further down the list than people with type 2 diabetes.

https://www.statnews.com/2021/01/11/for-people-with-type-1-diabetes-cdc-guidelines-for-covid-19-vaccine-priority-are-puzzling/

We appreciate your attention on this issue and look forward to reply. 10/10

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