Hypertrigliceridemia in children and adolescents with onset of type 1 diabetes in the pandemic COVID-19

ABSTRACT

Introduction: The rapid spread of SARS-COV2 infection has led to a pandemic affecting people of all ages. Objectives: Hypertriglyceridemia is a complication that can occur when diagnosing diabetes, especially the onset of ketoacidosis Methods: The cases of diabetes at onset during the March-October 2020 pandemic were analyzed and were compared with the same period of 2019 Results: During the pandemic there were 14 cases of type 1 diabetes at onset, compared to the same period in 2019, when there were 10 cases of type 1 diabetes. Of these, 7 (50%) had ketoacidosis at onset in 2020, compared to 2019-3 cases (30%) with ketoacidosis at onset. In 2019, 1 single patient had triglyceride levels> 500 mg/dl. 6 patients (85%) in 2020 presented triglycerides> 500 mg/dl as follows 2 had> 2000 mg/dl, 2> 1000 mg/dl, 3> 500 mg/dl. Conclusions: Diabetic ketoacidosis is a common form of diabetes in the pediatric population. When accompanied by severe hypertriglyceridemia, it must be managed with great care by the medical team to prevent complications, thus reducing the mortality of cases of diabetic ketoacidosis.