Variation of Newly Diagnosed Type 1 Diabetes Mellitus Cases During Covid-19 Pandemic: A Review

IF 0.3 Q4 PEDIATRICS Journal of Pediatrics Review Pub Date : 2023-01-01 DOI:10.32598/jpr.11.1.1073.1
D. Zamanfar, Mobin Ghazaiean, Mohammad Zahedi
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Abstract

Background Type 1 diabetes mellitus (T1DM) is one of the chronic diseases that timely and correct management affects the outcome of these patients. COVID-19 is an acute respiratory infection that has created a disproportionate situation for individuals and healthcare systems. The resulting pandemic is associated with delayed presentation of patients as well as increased frequency and severity of acute complications. Objectives This review study aims to investigate the incidence, initial presentation, frequency, and severity of diabetic ketoacidosis (DKA) as well as changes in demographic findings, such as age and sex in newly diagnosed T1DM children and adolescents during the COVID-19 pandemic. Methods The search was conducted in different databases, using the keywords: T1DM, COVID-19, pediatrics, and incidence to find the related articles published in English from December 31, 2019, to March 3, 2022. Results There is no clear evidence for increase in the incidence of T1DM and the frequency and severity of DKA in female and younger people during the pandemic compared to the pre-pandemic period. Further studies with larger sample sizes are needed to better understand the role of pandemic on disease incidence and acute complications. Conclusions: To reduce the incidence of DKA and speed up the diagnosis of T1DM during the pandemic, people should be informed about their symptoms.
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新冠肺炎大流行期间新诊断1型糖尿病病例的变化:综述
背景1型糖尿病(T1DM)是一种慢性疾病,及时、正确的治疗会影响患者的预后。新冠肺炎是一种急性呼吸道感染,给个人和医疗系统造成了不成比例的情况。由此产生的疫情与患者出现的延迟以及急性并发症的频率和严重程度增加有关。目的本综述研究旨在调查新冠肺炎大流行期间新诊断的T1DM儿童和青少年糖尿病酮酸中毒(DKA)的发病率、初始表现、频率和严重程度,以及人口统计学结果(如年龄和性别)的变化。方法检索2019年12月31日至2022年3月3日以英文发表的相关文章,检索词为T1DM、新冠肺炎、儿科、发病率。结果与疫情前相比,没有明确证据表明疫情期间女性和年轻人的T1DM发病率以及DKA的频率和严重程度增加。需要进行更大样本量的进一步研究,以更好地了解大流行对疾病发病率和急性并发症的作用。结论:在新冠疫情期间,为了降低DKA的发病率并加快T1DM的诊断,人们应该了解自己的症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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发文量
20
审稿时长
8 weeks
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