Effectiveness of the quercetin use in patients with COVID-19 with concomitant type 2 diabetes mellitus
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1
Department of Infectious Diseases and Epidemiologya, Ivano-Frankivsk National Medical University, Ukraine
2
Department of Therapy, Family and Emergency Medicines of Postgraduate Education, Ivano-Frankivsk National Medical University, Ukraine
Submission date: 2024-03-10
Final revision date: 2024-07-15
Acceptance date: 2024-08-01
Publication date: 2024-12-06
Corresponding author
Oleksandr Boichuk
Department of Infectious Diseases and Epidemiologya, Ivano-Frankivsk National Medical University, Halytska 2, 76018, Ivano-Frankivsk, Ukraine
Wiadomości Lekarskie 2024;77(10):1962-1968
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ABSTRACT
Aim:
To conduct a comparative analysis of the effectiveness of basic therapy and basic therapy with the inclusion of quercetin in patients with COVID-19 with concomitant type 2 diabetes.
Material and methods:
There were examined 60 patients with COVID-19 with concomitant T2DM. Upon admission into the hospital and again after 10 days, serum levels of interleukin-6, C-reactive protein, procalcitonin, ferritin, endothelin-1 were determined, and capillaroscopy of the nail plate was performed. Patients of the group I (30) against the background of protocol therapy received 0.5 g of quercetin intravenously once a day for 10 days. Patients of the group II (30) received to basic therapy.
Results:
After the treatment in patients of the group I general weakness decreased, body temperature normalized, improved saturation indicators, the level of acute-phase parameters (interleukin-6, CRP and ferritin) significantly decreased, a positive effect of quercetin on the level of D-dimer in blood serum was noted, indices of pericapillary edema and hemosiderin deposition significantly decreased, indices diameter of the arterial part of the capillary and capillary network density significantly increased.
Conclusions:
The use of quercetin against the background of basic therapy in patients with COVID-19 and concomitant T2DM reliably reduces the level of acute-phase indices, has an important clinical significance for reducing endothelial dysfunction and for preventing thrombotic complications.