Has COVID-19 Delayed the Diagnosis and Worsened the Presentation of Type 1 Diabetes in Children?

To evaluate whether the diagnosis of pediatric type 1 diabetes or its acute complications changed during the early phase of the coronavirus disease 2019 (COVID-19) pandemic in Italy. This was a cross-sectional, web-based survey of all Italian pediatric diabetes centers to collect diabetes, diabetic...

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Bibliographic Details
Published in:Diabetes care Vol. 43; no. 11; p. 2870
Main Authors: Rabbone, Ivana, Schiaffini, Riccardo, Cherubini, Valentino, Maffeis, Claudio, Scaramuzza, Andrea
Format: Journal Article
Language:English
Published: United States 01.11.2020
Subjects:
Adolescent
Betacoronavirus
Child
Child, Preschool
Clinical Laboratory Techniques
Coronavirus Infections - diagnosis
Coronavirus Infections - epidemiology
Coronavirus Infections - virology
COVID-19
COVID-19 Testing
Cross-Sectional Studies
Delayed Diagnosis - statistics & numerical data
Diabetes Mellitus, Type 1 - diagnosis
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - virology
Diabetic Ketoacidosis - diagnosis
Diabetic Ketoacidosis - epidemiology
Diabetic Ketoacidosis - virology
Emergency Service, Hospital
Female
Humans
Infant
Italy - epidemiology
Male
Pandemics
Pneumonia, Viral - diagnosis
Pneumonia, Viral - epidemiology
Pneumonia, Viral - virology
SARS-CoV-2
Italy
ISSN:1935-5548, 1935-5548
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Summary:To evaluate whether the diagnosis of pediatric type 1 diabetes or its acute complications changed during the early phase of the coronavirus disease 2019 (COVID-19) pandemic in Italy. This was a cross-sectional, web-based survey of all Italian pediatric diabetes centers to collect diabetes, diabetic ketoacidosis (DKA), and COVID-19 data in patients presenting with new-onset or established type 1 diabetes between 20 February and 14 April in 2019 and 2020. Fifty-three of 68 centers (77.9%) responded. There was a 23% reduction in new diabetes cases in 2020 compared with 2019. Among those newly diagnosed patients who presented in a state of DKA, the proportion with severe DKA was 44.3% in 2020 vs. 36.1% in 2019 ( = 0.03). There were no differences in acute complications. Eight patients with asymptomatic or mild COVID-19 had laboratory-confirmed severe acute respiratory syndrome coronavirus 2. The COVID-19 pandemic might have altered diabetes presentation and DKA severity. Preparing for any "second wave" requires strategies to educate and reassure parents about timely emergency department attendance for non-COVID-19 symptoms.
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ISSN:1935-5548
1935-5548
DOI:10.2337/dc20-1321