In diabetes and age-related decline in immunity, patients are prone to severe outcomes of chikungunya and dengue such as increased rates of dengue haemorrhagic fever, severe dengue symptoms and dengue-related mortality.[2-3]
Dengue causes immune dysfunction and severe decrease in platelet count.[2-4] People with diabetes are at 2.5 fold higher risk to develop dengue haemorrhagic fever.
Chikungunya is a diabetogenic stress and severely impacts glycemic control in patients with diabetes. It leads to higher risk of intense arthralgia, fever and myalgia, as well as longer time to improve arthralgia and fever. 
Malaria poses 46% increased risk for severe complications. Loss of consciousness, memory, and functional incapability are common problems reported by diabetes patients.
Your patients with diabetes need protection from mosquito bites when they are outdoors.
Goodknight’s 100% natural Fabric Roll-On provides superior protection from mosquito bites outdoors.
Your prescription has the power to protect.
Recommend Fabric Roll-On to protect your patients against the 3X higher risk of mosquito bites outdoors.
HOW TO USE
Advise your patient to apply four coin-sized dots on clothes before stepping outdoors.
Fabric Roll-On is safe to use:
Certificate on dermatological safety by Apollo Research and Innovations
1) Chandra G, Bhattacharjee I, Banerjee R, et al. Pattern of Human-biting Activity of Aedes aegypti L. and Aedes albopictus Skuse in a Garden Locale from City of Kolkata, India. Journal of Mosquito Research. 2015; 5(13): 1-5.
2) Rowe EK, Leo YS, Wong JG, et al. Challenges in dengue fever in the elderly: atypical presentation and risk of severe dengue and hospital-acquired infection [corrected]. PLoS Negl Trop Dis. 2014 Apr 3;8(4):e2777.
3) Mahmood S, Hafeez S, Nabeel H, et al. Does Comorbidity Increase the Risk of Dengue Hemorrhagic Fever and Dengue Shock Syndrome? ISRN Tropical Medicine. 2013. Available from: https://www.hindawi.com/journals/isrn/2013/139273/
4) Chen CY, Lee MY, Lin KD, et al. Diabetes mellitus increases severity of thrombocytopenia in dengue-infected patients. Int J Mol Sci. 2015 Feb 10;16(2):3820-30
5) Ramakrishnan M. Chikungunya- A Diabetogenic Stress. IOSR-JDMS. 2013; 3(6).
6) Jean-Baptiste E, von Oettingen J, Larco P, et al. Chikungunya Virus Infection and Diabetes Mellitus: A Double Negative Impact. Am J Trop Med Hyg. 2016 Dec 7;95(6):1345-1350.
7) Danquah I, Bedu-Addo G, Mockenhaupt FP. Type 2 diabetes mellitus and increased risk for malaria infection. Emerg Infect Dis. 2010 Oct;16(10):1601-4
8) Metta E, Bailey A, Kessy F, et al. Illness experiences of diabetes in the context of malaria in settings experiencing double burdenof disease in southeastern Tanzania. PLoS One. 2017 May 25;12(5):e0178394.