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Ketoacidosis in children and adolescents with newly diagnosed type 1 diabetes during the COVID-19 pandemic in Germany
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2021
Year
Relative RiskType 1Diabetes EpidemiologyAdolescent MedicinePediatric EpidemiologyClinical EpidemiologyPublic HealthHealth EducationPopulation ChildrenDiabetes ManagementHealth PolicyYoung Children AgeCovid-19 PandemicRiskDiabetes ComplicationsEpidemiologyChild HealthDiabetesPediatricsInternational HealthDiabetes MellitusMedicine
The authors analysed data from the German Diabetes Prospective Follow-up Registry (DPV) of children and adolescents with Type 1 diabetes (T1D) between March 13 to May 13, 2020, when most kindergartens and schools in Germany were closed due to COVID-19 restrictions. Compared to the previous 2 years, the risk of diabetic ketoacidosis (DKA) at T1D onset was nearly double during COVID-19 lockdown (adjusted relative risk: 1.84; 95% CI, 1.54-2.21) and the increased risk was highest in young children age < 6 years (2.75; 95% CI, 1.88-4.02).