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Caring for children and adolescents with type 1 diabetes mellitus: Italian Society for Pediatric Endocrinology and Diabetology (ISPED) statements during COVID-19 pandemia.
d'Annunzio, Giuseppe; Maffeis, Claudio; Cherubini, Valentino; Rabbone, Ivana; Scaramuzza, Andrea; Schiaffini, Riccardo; Minuto, Nicola; Piccolo, Gianluca; Maghnie, Mohamad.
  • d'Annunzio G; Pediatric Clinic and Endocrinology, Regional Center for Pediatric Diabetes, IRCCS Istituto Giannina Gaslini, Genoa, Italy. Electronic address: giuseppedannunzio@gaslini.org.
  • Maffeis C; Pediatric Diabetes and Metabolic Disorders Unit, University Hospital, Verona, Italy.
  • Cherubini V; Department of Women's and Children's Health, G. Salesi Hospital, Azienda Ospedaliero-Universitaria Ospedali Riuniti Ancona, Italy.
  • Rabbone I; Division of Pediatrics, Department of Health Sciences, University of Piemonte Orientale, Novara, Italy.
  • Scaramuzza A; Pediatric Unit, Ospedale Maggiore, ASST Cremona, Italy.
  • Schiaffini R; Diabetes Unit, Bambino Gesù Children's Hospital, Rome, Italy.
  • Minuto N; Pediatric Clinic and Endocrinology, Regional Center for Pediatric Diabetes, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
  • Piccolo G; Pediatric Clinic and Endocrinology, Regional Center for Pediatric Diabetes, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
  • Maghnie M; Pediatric Clinic and Endocrinology, Regional Center for Pediatric Diabetes, IRCCS Istituto Giannina Gaslini, Genoa, Italy; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health Department of General and Specialist Pediatric Sciences, Pediatric Clinic, IRCCS G
Diabetes Res Clin Pract ; 168: 108372, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-764465
ABSTRACT

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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Telemedicine / Coronavirus Infections / Diabetes Mellitus, Type 1 / Endocrinology Type of study: Observational study / Prognostic study / Reviews Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Infant, Newborn Country/Region as subject: Europa Language: English Journal: Diabetes Res Clin Pract Journal subject: Endocrinology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Telemedicine / Coronavirus Infections / Diabetes Mellitus, Type 1 / Endocrinology Type of study: Observational study / Prognostic study / Reviews Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Infant, Newborn Country/Region as subject: Europa Language: English Journal: Diabetes Res Clin Pract Journal subject: Endocrinology Year: 2020 Document Type: Article