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The Covid-19 outbreak renders managing diabetes mellitus problematic. Infection with Covid-19 predisposes infected individuals to hyperglycemia, leading to hyper glycosylation of ACE2 and increased viral proliferation. Worsening of hyperglycaemia induces inflammation, endothelial dysfunction, and thrombosis via the generation of oxidative stress driving the dysregulation of glucose metabolism and hypercoagulability. Severe infection in the individuals predisposed to vasculopathy and impaired immunity may accentuate thrombotic and ischemic complications associated with multiorgan failure and increased mortality rates. Covid-19 poses a major risk to the diabetes patients. This risk in diabetes patients could through cytokine storm. Some inflammatory cytokines especially interleukin 6 should be monitored.

Anaemia is the most common nutritional deficiency indicator and health status in the world affecting about one third of the global population. Taking iron supplement during pregnancy is associated with reduction in anaemia among lactating mothers. The risk of anaemia in lactating mothers reduces with intake of iron supplement during pregnancy. Based on the study findings the researcher recommends the following. All lactating mothers should be encouraged by health team, starting with Village Health Team (VHTs) up to the facility level for regular haemoglobin checkup. Massive nutritional education should always be carried out on every antenatal and postnatal visit.