Table 4.

Sick day rules for PLWD diagnosed with COVID-19.

Continue oral anti-hyperglycemic drugs if mild–moderate disease but stop in severe and critical COVID-19 disease

Continue insulin therapy for patients already on it irrespective of disease severity

Use insulin for all patients with severe to critical COVID-19 disease

Continue statins, aspirin and ACEIs/ARBs

Use paracetamol as anti-pyretic and stop NSAIDs

Use insulin in addition to oral anti-hyperglycemic drugs (if not contraindicated) for countering glucocorticoid induced hyperglycemia.

ACEI, angiotensin converting enzyme inhibitors; ARB, angiotensin 2 receptor blockers; COVID-19, coronavirus-2019; NSAIDS, nonsteroidal anti-inflammatory drugs; PLWD, persons living with diabetes mellitus.