Type 1 diabetes

Incidence of Diabetes in Children and Adolescents During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

JAMA Netw OpenPublished Systematic review and meta-analysis of observational studies

Pooled result · T1D incidence rateResult — go to the resultIncidence rate ratio 1.14 95% CI 1.08–1.21

Authors' conclusion

This study found that incidence rates of type 1 diabetes and DKA at diabetes onset in children and adolescents were higher after the start of the COVID-19 pandemic than before the pandemic. Increased resources and support may be needed for the growing number of children and adolescents with diabetes. Future studies are needed to assess whether this trend persists and may help elucidate possible underlying mechanisms to explain temporal changes.

Study context

Population
Youths younger than 19 years; studies with ≥12 months observation during and before the pandemic, published in English; searched January 1, 2020, to March 28, 202342 studies, incident cases
Participants
102,984 participants
Comparison
During vs before the COVID-19 pandemic
Outcome
Change in the incidence rate of pediatric diabetes during vs before the COVID-19 pandemic
Methodological detailscommon and random-effects analysis, MOOSE reporting guideline
  • Common and random-effects analysis
  • MOOSE reporting guideline

Pooled result

T1D incidence rate · first year of the pandemic

Incidence rate ratio

1.14

95% CI 1.08–1.21

During pandemicvs Prepandemic
IRR 1.14 (95% CI 1.08–1.21)

As reported in the abstract

Further pooled results

OutcomeIRR (95% CI)
Diabetes incidence · months 13 to 24 of the pandemic1.27 (1.18–1.37)
DKA incidence at new-onset diabetes1.26 (1.17–1.36)
  • DKA incidence at new-onset diabetes: 15 studies (35.7%)

T2D incidence

Studies reporting incident T2D cases in both periods; no incidence rates reported, not pooled
10 studies (23.8%)

Original publication

Incidence of Diabetes in Children and Adolescents During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. JAMA Netw Open. Published 1 June 2023. doi:10.1001/jamanetworkopen.2023.21281

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