Type 1 diabetes

Change in Age of Diagnosis and Demographics of Type 1 Diabetes Mellitus During the COVID‐19 Era

Pediatr DiabetesPublished Retrospective cohort study

Main finding · Average age at diagnosisResult — go to the resultIncrease 0.7 years

Authors' conclusion

Average age at diagnosis in our cohort increased since the start of COVID-19, contradicting previous studies and our hypothesis.

Study context

Population
Pediatric patients diagnosed with T1DM
Participants
698 patients
Exposure
During COVID-19 vs pre-COVID-19
Outcome
Age at diagnosis of T1DM
Methodological detailsretrospective chart review
  • Retrospective chart review

Main finding

Average age at diagnosis

Increase

0.7 years

P = 0.025

As reported in the abstract

Significant difference in distribution of age groups between the two periods
P = 0.0065

Observational data: associations, not effects.

Further findings

OutcomeTimes more likely
DKA at presentation1.6

New cases

New diagnoses aged 13-18 years increasing before 2020, then leveling out
7%-23%
More patients diagnosed during COVID-19
Significant decrease in new cases aged 2-5 years from 2017 to 2020, reverting to previous rates by 2022

Hemoglobin A1c (HbA1c)

No significant change in HbA1c

Thyroperoxidase (TPO) antibody positivity

No significant change in TPO antibody positivity

Elevated TTG-IgA

Significant decrease from pre-COVID to post-COVID
P = 0.018

Original publication

Change in Age of Diagnosis and Demographics of Type 1 Diabetes Mellitus During the COVID‐19 Era. Pediatr Diabetes. Published 16 October 2025. doi:10.1155/pedi/7276579

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