COVID-19 and Type 1 diabetes in Sweden

Abstract

COVID19 is regarded as a lifethreatening infection for most people, but especially certain risk-groups including diabetes, and has caused lock-down of societies which may have deleterious consequences. Many countries have taken steps to shut down schools, companies and businesses, and entire countries have been isolated. These drastic measures will have serious consequences for economy, psychosocial situation and health. There is a risk that people with other diseases like diabetes do not get ordinary adequate care. have eg serious lung disease och extreme obesity. For everybody physical distancing, increased hygiene, at home when symptoms of COVID19, crowds < 50 people etc Otherwise open shops, open restaurants, open schools. In the care of children and adolscents with Type 1 diabetes has some ordinary visits to the diabetesteam been replaced by telemedicine. Quality has remained the same as 2018 and 2019 with national mean HbA1c 53.8 mmol/mol ( 95% CI 53-5- 54.1) during Jan 1- April 28, 2020 and the proportion of patients with HbA1c < 57 mmol/l was 67.3% ( 95% CI 66-68.6%). Type 1 diabetes has not been a risk factor for severe COVID19, and no children with T1D are among those who have needed Intensive Care or who have died.