COVID-19 vaccines and blood glucose control: Friend or foe?

Bibliographic Details
Title: COVID-19 vaccines and blood glucose control: Friend or foe?
Authors: Walter Vena, Stella Pigni, Nazarena Betella, Annalisa Navarra, Marco Mirani, Gherardo Mazziotti, Andrea G. Lania, Antonio C. Bossi
Source: Human Vaccines & Immunotherapeutics, Vol 20, Iss 1 (2024)
Publisher Information: Taylor & Francis Group, 2024.
Publication Year: 2024
Collection: LCC:Immunologic diseases. Allergy
LCC:Therapeutics. Pharmacology
Subject Terms: Diabetes, vaccine, COVID-19, immune system, immunosenescence, Immunologic diseases. Allergy, RC581-607, Therapeutics. Pharmacology, RM1-950
More Details: Purpose To overview the recent literature regarding the relationship between COVID-19 vaccines and glycemic control.Methods Data were extracted from text and tables of all available articles published up to September 2023 in PubMed Database describing glucose homeostasis data in subjects exposed to COVID-19 vaccines, focusing on patients with diabetes mellitus (DM).Results It is debated if the immune system impairment observed in diabetic patients makes them susceptible to lower efficacy of vaccines, but evidence suggests a possible improvement in immune response in those with good glycemic control. Despite their proven protective role lowering infection rates and disease severity, COVID-19 vaccines can result in diabetic ketoacidosis, new-onset diabetes, or episodes of hyper- or hypoglycemia.Conclusions Evidence with COVID-19 vaccines highlights the strong relationship existing between DM and immune system function. Clinicians should strive to achieve optimal glucose control before vaccination and promptly manage possible glucose homeostasis derangement following vaccine exposure.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 21645515
2164-554X
2164-5515
Relation: https://doaj.org/toc/2164-5515; https://doaj.org/toc/2164-554X
DOI: 10.1080/21645515.2024.2363068
Access URL: https://doaj.org/article/c9485f28c5c74086a8f46dd103ad702e
Accession Number: edsdoj.9485f28c5c74086a8f46dd103ad702e
Database: Directory of Open Access Journals
More Details
ISSN:21645515
2164554X
DOI:10.1080/21645515.2024.2363068
Published in:Human Vaccines & Immunotherapeutics
Language:English