Objectives : COVID-19 disease causes considerable morbidity and mortality. Older age and the presence of diabetes mellitus, hypertension and obesity significantly increase the risk of hospitalization and death in COVID-19 patients. COVID-19 patients with other comorbidities such as diabetes are at higher risk of developing severe pneumonia. Several studies have shown a higher susceptibility to several infectious diseases in people with diabetes, possibly due to an unregulated immune system. Plasma glucose levels and diabetes are independent predictors of mortality and morbidity in patients with SARS. Chest X-ray imaging plays an important role in both assessment of disease extent and follow-up, by knowing the pattern of chest radiography in patients with COVID-19 with Diabetes Mellitus, a radiologist can assist clinicians in predicting the progression of chest radiography in relation to blood glucose levels in patients. Method : A descriptive study with a retrospective design was conducted on 134 patients with confirmed COVID-19 and diabetes mellitus who were admitted to Dr. Soetomo General Academic Hospital in 2020. Data on chest radiography and random blood glucose levels were obtained during the first 24 hours of treatment. We evaluated the lung disease based on features, distribution and location. Result : The gender of COVID-19 patients who had the most Diabetes Mellitus was male (55.2%) with the highest age group being more than 50 years (70.8%) with the highest random glucose levels > 200 mg/dl (64.9%). The most radiographic features in COVID-19 patients with Diabetes Mellitus were consolidation/alveolar infiltrate both in patients with glucose level > 200 mg/dl (64.9%) or < 200 mg/dl (35.1%), with the most peripheral distribution (97,8%) and the most locations being a combination of the upper-middle-lower zone at right lung (81,3%) and left lung (70,9%) Conclusion: Radiograph feature of COVID-19 patients with Diabetes Mellitus both in patients with glucose level > 200 mg/dl and < 200 mg/dl were  mostly  consolidation/alveolar infiltrate, with the most peripheral distribution and the most locations being a combination of the upper-middle-lower zone.

COVID-19

Diabetes Mellitus

chest x-ray

Radiograph