Amid rise of mucormycosis (black fungus) infection, diabetic patients are advised to frequently monitor and control their blood sugar levels. Diabetic patients (those with uncontrolled diabetes), steroid usage and being Corona positive, a combination of these factors places one under risk of getting mucormycosis. Therefore, diabetic patients should regularly monitor and control their blood sugar levels.
Mucormycosis or black fungus infection is not a new disease and it was reported even before the pandemic. Its incidence, however, was very low. Now, owing to Covid-19, this rare but fatal fungal infection is being reported in large numbers.The Coronavirus Disease Associated Mucormycosis (CAM) is being seen in patients who are either recovering or have recovered from Covid-19.
He advised that Covid patients with a mild form of the infection should strictly avoid taking steroids as taking steroids increases the risk of secondary infections such as mucormycosis. If a Covid-infected person's oxygen saturation level is normal, and he/she is categorised as clinically mild, steroids should be completely avoided.
"Those who are taking steroids should also keep checking their blood sugar levels. In most cases, one who is not diabetic finds that after taking steroids, the blood sugar level shoots up to 300 to 400. Hence, it is essential to continuously monitor one's sugar levels," Dr Guleria said.
"High dosage of steroids being taken by Covid-19 patients is of no use. Mild to moderate doses are good enough. As per the data, steroids should be given only for five to 10 days (maximum). Moreover, steroids increase the blood sugar level which can then become hard to control. This can in turn increase the chance of fungal infection," Dr Guleria said.
Amid rise of mucormycosis (black fungus) infection, diabetic patients are advised to frequently monitor and control their blood sugar levels. Diabetic patients (those with uncontrolled diabetes), steroid usage and being Corona positive, a combination of these factors places one under risk of getting mucormycosis. Therefore, diabetic patients should regularly monitor and control their blood sugar levels.
Mucormycosis or black fungus infection is not a new disease and it was reported even before the pandemic. Its incidence, however, was very low. Now, owing to Covid-19, this rare but fatal fungal infection is being reported in large numbers.The Coronavirus Disease Associated Mucormycosis (CAM) is being seen in patients who are either recovering or have recovered from Covid-19.
He advised that Covid patients with a mild form of the infection should strictly avoid taking steroids as taking steroids increases the risk of secondary infections such as mucormycosis. If a Covid-infected person's oxygen saturation level is normal, and he/she is categorised as clinically mild, steroids should be completely avoided.
"Those who are taking steroids should also keep checking their blood sugar levels. In most cases, one who is not diabetic finds that after taking steroids, the blood sugar level shoots up to 300 to 400. Hence, it is essential to continuously monitor one's sugar levels," Dr Guleria said.
"High dosage of steroids being taken by Covid-19 patients is of no use. Mild to moderate doses are good enough. As per the data, steroids should be given only for five to 10 days (maximum). Moreover, steroids increase the blood sugar level which can then become hard to control. This can in turn increase the chance of fungal infection," Dr Guleria said.