Consistent with a potential direct effect of COVID-19 causing pancreatic damage several studies have reported the presence of SARS-CoV-2 and its cell receptor, angiotensin-converting enzyme 2 (ACE2), in pancreatic beta cells, along with evidence of fibrosis associated with multiple vascular thrombi in autopsy tissue obtained from patients who had died from COVID-19 (33–35). Here, ACE2 is linked to COVID-19.