Antibody response following SARS-CoV-2 vaccination among patients with type 2 diabetes mellitus: A systematic review

Diabetes Metab Syndr. 2022 Feb;16(2):102406. doi: 10.1016/j.dsx.2022.102406. Epub 2022 Jan 21.

Abstract

Background and aim: DM patients' antibody response after the COVID-19 vaccine is still unknown amid the COVID-19 vaccination rollout. This study aimed to explore the SARS-CoV-2 antibody response or seropositivity among DM patients following the COVID-19 vaccine administration.

Methods: We performed a systematic review of the literature consisting of observational or cross-sectional studies, which reported the antibody serology or seropositivity among DM patients by following the PRISMA 2020 guidelines.

Results: Eight studies with a total of 64468 patients were identified, and 5156 (7.9%) of them had diabetes. Most studies showed that antibody response and seropositivity in DM patients were lower than healthy population after one until four weeks following full COVID-19 vaccination dose.

Conclusion: The antibody response and seropositivity after the COVID-19 vaccine in DM patients were lower than in healthy subjects. Therefore, DM patients are expected to receive vaccines according to the dose and schedule appropriately and might be prioritized to receive vaccine boosters.

Keywords: COVID-19; Diabetes mellitus; SARS-CoV-2; Vaccination.

Publication types

  • Systematic Review

MeSH terms

  • Antibodies, Viral / blood
  • Antibody Formation / immunology*
  • BNT162 Vaccine / immunology
  • COVID-19 / epidemiology
  • COVID-19 / immunology*
  • COVID-19 / prevention & control*
  • COVID-19 Vaccines / immunology*
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetes Mellitus, Type 2 / immunology*
  • SARS-CoV-2 / immunology*
  • Vaccination

Substances

  • Antibodies, Viral
  • COVID-19 Vaccines
  • BNT162 Vaccine