How are people with diabetes managing the mixed messages about COVID-19 and their condition?

### Understanding Diabetes and COVID-19 Mindy Bartleson, diagnosed with type 1 diabetes (T1D) 20 years ago, feels confused about the pandemic. This confusion is common among the diabetes community due to shifting guidance and differing opinions. Experts believe that the confusion stems from the long-standing complexity of diabetes information. As people transition back to normal activities, confusion and worry increase. Conflicting news reports have left people with diabetes unsure about many aspects of COVID-19, such as medication hoarding and the risk of complications. Dr. Minisha Sood from Lenox Hill Hospital noted that patients initially feared insulin shortages and were unsure if they were at higher risk for COVID-19. The CDC later clarified that people with type 2 diabetes are at elevated risk, while those with T1D are at a possible elevated risk. However, some researchers hypothesize that T1D patients might have milder symptoms due to an inherent immunity imbalance, though evidence is inconclusive. Dr. Joshua Miller from Stony Brook Medicine highlighted the challenge of tracking COVID-19 diagnoses in people with different types of diabetes. The medical coding system often lacks precision, making it difficult to accurately describe a patient's condition. Despite the confusion, doctors agree that better diabetes management leads to better COVID-19 outcomes. Maintaining good blood sugar levels and overall health is crucial. Dr. Bart Roep from City of Hope recommends adding vitamins like vitamin D to the daily routine, especially for people of color. In summary, while there is still much to learn about COVID-19 and diabetes, the best approach is to stay informed, manage diabetes diligently, and follow health guidelines to reduce the risk of infection.