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Diabetes Res Clin Pract ; 168: 108372, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-764465


AIMS: Our study aimed to review the impact of COVID-19 pandemia in children and adolescents with type 1 diabetes mellitus, to analyze the clinical characteristics of the infection and to propose clinical practice recommendations from the Italian Society for Pediatric Endocrinology and Diabetology (ISPED). METHODS: A literature search was carried out in the guideline databases, Medline and Embase and in Diabetes Societies websites until May 21st, 2020 for guidelines and recommendations on type 1 diabetes mellitus management during COVID-19 pandemic. RESULTS: COVID-19 infection in pediatric patients seems to be clinically less severe than in adults; children have so far accounted for 1-5% of diagnosed cases, with a median age of 6.7 years (1 day-15 years) and better prognosis. Clinical manifestations include mild, moderate, severe disease up to critical illness. There is currently no evidence suggesting a higher risk of COVID-19 infection in children with diabetes than unaffected peers. Besides general recommendations for pediatric patients, ISPED has proposed specific measures for patients with diabetes. CONCLUSION: COVID-19 outbreak modified type 1 diabetes management, and telemedicine has been demonstrating to be an effective new tool for patients care. Moreover psychological aspects deserve attention and future researchs are mandatory.

Coronavirus Infections/epidemiology , Diabetes Mellitus, Type 1/therapy , Endocrinology/standards , Pneumonia, Viral/epidemiology , Telemedicine/standards , Adolescent , Age of Onset , Betacoronavirus , COVID-19 , Child , Child, Preschool , Diabetes Mellitus, Type 1/epidemiology , Endocrinology/organization & administration , Female , Humans , Infant , Infant, Newborn , Italy/epidemiology , Male , Pandemics , SARS-CoV-2 , Societies, Medical , Telemedicine/organization & administration