Question special

It seems that patients with severe COVID-19 infections have very high insulin resistance (per our inpatient consult team, requiring up to 50 units of insulin per hour on an insulin drip even without underlying diabetes, without being on exogenous steroids). Presumably this phenomenon is due to an extremely pro-inflammatory state? I was curious what other hospitals’ and clinicians’ experiences have been. Any major downfalls or successes in your centers?