In the pandemic "Corona Virus Disease 2019" (COVID-19) people with diabetes have a high risk to require ICU admission. The management of diabetes in Intensive Care Unit is always challenging, however, when diabetes is present in COVID-19 the situation seems even more complicated. An optimal glycemic control, avoiding acute hyperglycemia, hypoglycemia and glycemic variability may significantly improve the outcome. In this case, intravenous insulin infusion with continuous glucose monitoring should be the choice. No evidence suggests stopping angiotensin-converting-enzyme inhibitors, angiotensin-renin-blockers or statins, even it has been suggested that they may increase the expression of Angiotensin-Converting-Enzyme-2 (ACE2) receptor, which is used by "Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to penetrate into the cells. A real issue is the usefulness of several biomarkers, which have been suggested to be measured during the COVID-19. N-Terminal-pro-Brain Natriuretic-Peptide, D-dimer and hs-Troponin are often increased in diabetes. Their meaning in the case of diabetes and COVID-19 should be therefore very carefully evaluated. Even though we understand that in such a critical situation some of these requests are not so easy to implement, we believe that the best possible action to prevent a worse outcome is essential in any medical act.

• Klíčová slova
• COVID-19, Cardiovascular complications, Diabetes, Intensive Care Unit,
• MeSH
• antihypertenziva terapeutické užití   MeSH
• Betacoronavirus patogenita   MeSH
• biologické markery krev   MeSH
• COVID-19 MeSH
• diabetes mellitus krev   diagnóza   farmakoterapie   mortalita   MeSH
• dyslipidemie farmakoterapie   mortalita   MeSH
• hodnocení rizik MeSH
• hypertenze farmakoterapie   mortalita   MeSH
• hypoglykemika škodlivé účinky   terapeutické užití   MeSH
• interakce hostitele a patogenu MeSH
• jednotky intenzivní péče * MeSH
• koronavirové infekce diagnóza   mortalita   terapie   virologie   MeSH
• krevní glukóza účinky léků   metabolismus   MeSH
• lidé MeSH
• pandemie MeSH
• rizikové faktory MeSH
• SARS-CoV-2 MeSH
• statiny terapeutické užití   MeSH
• virová pneumonie diagnóza   mortalita   terapie   virologie   MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH
• Názvy látek
• antihypertenziva MeSH
• biologické markery MeSH
• hypoglykemika MeSH
• krevní glukóza MeSH
• statiny MeSH