Type 1 diabetes

Impact of the COVID-19 Pandemic on Children and Adolescents with New-Onset Type 1 Diabetes

Pediatr DiabetesPublished Systematic review and meta-analysis

Pooled result · T1D incidence rateResult — go to the resultRelative risk 1.200 95% CI 1.125–1.281

Authors' conclusion

There is considerable evidence that there is an increase in type 1 diabetes in children during the COVID-19 pandemic. Many studies suggesting a direct effect of SARS-CoV-2 have methodological weaknesses. As no evidence of an increase in presymptomatic cases with isolated islet autoimmunity was found, this could also suggest an accelerated transition from presymptomatic patients to clinically overt type 1 diabetes. Furthermore, there was a marked exacerbation of the preexisting increase in the prevalence of diabetic ketoacidosis at diagnosis of type 1 diabetes during the pandemic. Both the increased incidence of paediatric type 1 diabetes and the higher prevalence of diabetic ketoacidosis at diagnosis led to a massive rise in the number of children with diabetic ketoacidosis during the pandemic.

Study context

Population
Children and adolescents with new-onset T1D; studies identified on PubMed
Comparison
COVID-19 pandemic period vs prepandemic period
Outcome
Relative risk of new-onset T1D
Methodological detailsrandom-effects meta-analysis, Poisson regression
  • Random-effects meta-analysis
  • Poisson regression

Pooled result

T1D incidence rate

Relative risk

1.200

95% CI 1.125–1.281

Pandemicvs Prepandemic
RR 1.200 (95% CI 1.125–1.281)

As reported in the abstract

Further pooled results

OutcomeRR (95% CI)
Risk of new-onset T1D after SARS-CoV-2 infectionAfter SARS-CoV-2 infection; risk increased by 62%1.622 (1.347–1.953)

Original publication

Impact of the COVID-19 Pandemic on Children and Adolescents with New-Onset Type 1 Diabetes. Pediatr Diabetes. Published 30 May 2023. doi:10.1155/2023/7660985

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