Children under 25 with diabetes not hospitalized due to COVID-19


What your doctor is reading on

March 26, 2020 – Reports from pediatric endocrinologists at hot spots of COVID-19 worldwide indicate that children, teens, and young adults with diabetes have so far shown no different pattern of disease with the virus compared with children and younger people who do not have diabetes.
In fact, colleagues in Wuhan, China, and Italy "state that they have had no cases of COVID-19 in children, adolescents, or young adults <25 years of age with diabetes who required hospitalization, to date (until March 24)" according to a new statement from the International Society for Pediatric and Adolescent Diabetes (ISPAD).
Currently, ISPAD has around 1,300 members worldwide and has instituted a discussion forum on the topic of treating children with diabetes and COVID-19.
"We consider these reports (from colleagues around the world), while anecdotal, to be reassuring," he says.
However, there are real concerns regarding other potentially dangerous effects. ISPAD has expressed concern, for example, that the COVID-19 pandemic will prevent youth with existing diabetes who have diabetic emergencies from seeking hospital care.
Chinese physicians reported to ISPAD a series of cases of late hospital admissions for diabetic ketoacidosis (CAD) in children with type 1 diabetes known because hospital services were closed for care unrelated to COVID-19.
Andrea Scaramuzza, MD, a pediatric endocrinologist at Ospedale Maggiore di Cremona, Italy, has also reported multiple cases of patients going to the emergency services there with severe CAD.
"These experiences reinforce the importance of continued care for standard diabetes care to avoid the need for hospitalization and emergency visits or urgent care," says ISPAD, under the motto: "Stay calm and be careful with your care. of diabetes. "
However, it emphasizes that these resources should be used "if necessary".

Concerns that new-onset diabetes will be lost during COVID-19

Scaramuzza told Medscape Medical News that there are also concerns regarding delays in diagnosing new cases of type 1 diabetes "due to fear that families will have to go to the emergency department due to COVID-19."
In fact, in Italy, some patients came with very severe DKA, he said. Scaramuzza noted that a colleague from Naples, Dario Iafusco, MD, and his pediatric team have made a video to maintain awareness of new-onset diabetes.
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