tetano
Editor, Senior Moderator
Diabetes Care
. 2021 Apr 26;dc202733.
doi: 10.2337/dc20-2733. Online ahead of print.
Spike in Diabetic Ketoacidosis Rates in Pediatric Type 2 Diabetes During the COVID-19 Pandemic
Lily C Chao[SUP] 1 2 [/SUP], Alaina P Vidmar[SUP] 3 2 [/SUP], Senta Georgia[SUP] 1 2 4 [/SUP]
Affiliations
Abstract
Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) on the incidence of new-onset type 2 diabetes and diabetic ketoacidosis (DKA) is unclear. It is unknown whether the coincidence of DKA noted in adult patients with type 2 diabetes is an issue for youth during the coronavirus disease 2019 pandemic.
Research design and methods: A retrospective single-center medical record review was conducted in a large, urban children's hospital of pediatric subjects presenting with new-onset type 2 diabetes between March and August of 2018 to 2020.
Results: The proportion of subjects presenting with new-onset type 2 diabetes in DKA dramatically increased in 2020 (9% in 2018, 3% in 2019, and 20% in 2020, P = 0.029).
Conclusions: In 2020, youth with new-onset type 2 diabetes had a greater incidence of DKA at presentation than previously observed. Future studies should examine the impact of SARS-CoV2 exposure on the presentation of type 2 diabetes in all age groups to inform better patient care.
. 2021 Apr 26;dc202733.
doi: 10.2337/dc20-2733. Online ahead of print.
Spike in Diabetic Ketoacidosis Rates in Pediatric Type 2 Diabetes During the COVID-19 Pandemic
Lily C Chao[SUP] 1 2 [/SUP], Alaina P Vidmar[SUP] 3 2 [/SUP], Senta Georgia[SUP] 1 2 4 [/SUP]
Affiliations
- PMID: 33905347
- DOI: 10.2337/dc20-2733
Abstract
Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) on the incidence of new-onset type 2 diabetes and diabetic ketoacidosis (DKA) is unclear. It is unknown whether the coincidence of DKA noted in adult patients with type 2 diabetes is an issue for youth during the coronavirus disease 2019 pandemic.
Research design and methods: A retrospective single-center medical record review was conducted in a large, urban children's hospital of pediatric subjects presenting with new-onset type 2 diabetes between March and August of 2018 to 2020.
Results: The proportion of subjects presenting with new-onset type 2 diabetes in DKA dramatically increased in 2020 (9% in 2018, 3% in 2019, and 20% in 2020, P = 0.029).
Conclusions: In 2020, youth with new-onset type 2 diabetes had a greater incidence of DKA at presentation than previously observed. Future studies should examine the impact of SARS-CoV2 exposure on the presentation of type 2 diabetes in all age groups to inform better patient care.