Multiple influences of the COVID-19 pandemic on children with diabetes: Changes in epidemiology, metabolic control and medical care.

COVID-19 Children Diabetes Diabetic ketoacidosis Telemedicine

Journal

World journal of diabetes
ISSN: 1948-9358
Titre abrégé: World J Diabetes
Pays: United States
ID NLM: 101547524

Informations de publication

Date de publication:
15 Mar 2023
Historique:
received: 04 01 2023
revised: 28 01 2023
accepted: 22 02 2023
medline: 11 4 2023
entrez: 10 4 2023
pubmed: 11 4 2023
Statut: ppublish

Résumé

The coronavirus disease 2019 (COVID-19) pandemic has heavily affected health worldwide, with the various forms of diabetes in children experiencing changes at various levels, including epidemiology, diabetic ketoacidosis rates and medical care. Type 1 diabetes showed an apparent increase in incidence, possibly owing to a direct damage of the virus to the β-cell. Diabetic ketoacidosis also increased in association with the general fear of referring patients to the hospital. Most children with diabetes (both type 1 and type 2) did not show a worsening in metabolic control during the first lockdown, possibly owing to a more controlled diet by their parents. Glucose sensor and hybrid closed loop pump technology proved to be effective in all patients with type 1 diabetes during the pandemic, especially because the downloading of data allowed for the practice of tele-medicine. Telemedicine has in fact grown around the world and National Health Systems have started to consider it as a routine activity in clinical practice. The present review encompasses all the aspects related to the effects of the pandemic on the different forms of diabetes in children.

Identifiants

pubmed: 37035223
doi: 10.4239/wjd.v14.i3.198
pmc: PMC10075036
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

198-208

Informations de copyright

©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: The authors declare no conflicts of interest.

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Auteurs

Stefano Zucchini (S)

Department of Pediatric, IRCCS AOU di Bologna, Bologna 40138, Italy. stefano.zucchini@aosp.bo.it.

Andrea Scozzarella (A)

Department of Pediatric, IRCCS AOU di Bologna, Bologna 40138, Italy.

Giulio Maltoni (G)

Department of Pediatric, IRCCS AOU di Bologna, Bologna 40138, Italy.

Classifications MeSH