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