Your browser doesn't support javascript.
Incidence of Type 1 Diabetes Mellitus and Characteristics of Diabetic Ketoacidosis in Children and Adolescents during the First Two Years of the COVID-19 Pandemic in Vojvodina.
Vorgucin, Ivana; Savin, Marijana; Stankovic, Durdina; Miljkovic, Dejan; Ilic, Tatjana; Simic, Danijela; Vrebalov, Mirjana; Milanovic, Borko; Barisic, Nenad; Stojanovic, Vesna; Vijatov-Duric, Gordana; Koprivsek, Katarina; Vilotijevic-Dautovic, Gordana; Antic, Jelena.
  • Vorgucin I; Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia.
  • Savin M; Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia.
  • Stankovic D; Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia.
  • Miljkovic D; Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia.
  • Ilic T; Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia.
  • Simic D; Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia.
  • Vrebalov M; General Hospital Subotica, 24000 Subotica, Serbia.
  • Milanovic B; General Hospital Sombor, 25000 Sombor, Serbia.
  • Barisic N; General Hospital Zrenjanin, 23000 Zrenjanin, Serbia.
  • Stojanovic V; Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia.
  • Vijatov-Duric G; Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia.
  • Koprivsek K; Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia.
  • Vilotijevic-Dautovic G; Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia.
  • Antic J; Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia.
Medicina (Kaunas) ; 58(8)2022 Jul 28.
Article in English | MEDLINE | ID: covidwho-1969363
ABSTRACT
Background and

Objectives:

The COVID-19 pandemic has led to significant changes globally, which has also affected patients with type 1 diabetes mellitus (T1DM). This study aimed to determine the incidence of T1DM and the characteristics of diabetic ketoacidosis (DKA) during the pandemic comparing it to pre-pandemic period. Materials and

Methods:

Data from patients <19 years with newly diagnosed T1DM between 1st January 2017 and 31st December 2021 from four regional centers in Vojvodina were retrospectively collected and analyzed.

Results:

In 2021, the highest incidence of T1DM in the last five years was recorded, 17.3/100,000. During the pandemic period (2020-2021), there were 99 new-onset T1DM, of which 42.4% presented in DKA, which is significantly higher than in the pre-pandemic period (34.1%). During the pandemic, symptom duration of T1DM lasted significantly longer than before the COVID-19 period. At the age of 10-14 years, the highest incidence of T1DM and COVID-19, the highest frequency rate of DKA, and severe DKA were observed.

Conclusions:

The pandemic is associated with a high incidence rate of T1DM, longer duration of symptoms of T1DM, a high frequency of DKA, and a severe DKA at diagnosis. Patients aged 10-14 years are a risk group for the occurrence of T1DM with severe clinical presentation. Additional studies are needed with a longer study period and in a wider geographical area, with data on exposure to COVID-19 infection, the permanence of new-onset T1DM, and the psychosocial impact of the pandemic.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetic Ketoacidosis / Diabetes Mellitus, Type 1 / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Adolescent / Child / Humans Language: English Journal subject: Medicine Year: 2022 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetic Ketoacidosis / Diabetes Mellitus, Type 1 / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Adolescent / Child / Humans Language: English Journal subject: Medicine Year: 2022 Document Type: Article