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A small fraction of individuals diagnosed with COVID-19, many of whom did not have a previous history of diabetes mellitus (DM), have been found to experience extreme hyperglycemia and acute hyperglycemic emergencies such as diabetic ketoacidosis (DKA) based on case reports [11,12,13,14,31], and/or hyperosmolar hyperglycemic syndrome (HHS), with 91 cases of DKA and 19 cases of DKA/HHS reported in clinical trials [11,12,13,14,31]

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