Type 2 & other diabetes

Incidence, Severity, and Presentation of Type 2 Diabetes in Youth During the First and Second Year of the COVID-19 Pandemic

Diabetes CarePublished Retrospective cohort study

Authors' conclusion

Providers should be aware of the escalating incidence of youth-onset type 2 diabetes to avoid delays in diagnosis and inform educational programs to combat the continued impact of the pandemic on health outcomes.

Study context

Population
Youth with new-onset T2D
Exposure
First and second pandemic years vs prepandemic period
Outcome
Annualized incidence of new-onset pediatric T2D
Methodological detailsretrospective medical record review
  • Retrospective medical record review

Main finding

As reported in the abstract

Annualized incidence of T2D

Increase in 2nd vs 1st pandemic year

61%

Observational data: associations, not effects.

Further findings

Annualized incidence of T2D

Increase in 2nd vs 1st pandemic year
61%
Increased nearly threefold during the pandemic vs prior

BMI (% of 95th percentile)

BMI increased during the pandemic vs prior
P = 0.02

Age at diagnosis · 1st pandemic year

Patients younger in the 1st year vs prior
12.9 years vs. 14.8, P < 0.001

DKA and/or HHS at presentation · 1st pandemic year

Higher incidence in the 1st year vs prior
20% vs. 3.5%, P = 0.02

Original publication

Incidence, Severity, and Presentation of Type 2 Diabetes in Youth During the First and Second Year of the COVID-19 Pandemic. Diabetes Care. Published 13 January 2023. doi:10.2337/dc22-1702

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