Disrupted Pediatric Diabetes Trends in the Second Year of the COVID-19 Pandemic

Author:

McIntyre Tatiana1ORCID,Sarah Salma2,Benjamin Robert2,Balikcioglu Pinar Gumus23

Affiliation:

1. Department of Pediatrics, Duke University Medical Center , Durham, NC 27710 , USA

2. Division of Pediatric Endocrinology and Diabetes, Duke University Medical Center , Durham, NC 27705 , USA

3. Duke Molecular Physiology Institute, Duke University Medical Center , Durham, NC 27701 , USA

Abstract

Abstract Context Increases in incident cases of pediatric type 1 (T1D) and type 2 diabetes (T2D) were observed during the first year of the COVID-19 pandemic. Objective This work aimed to identify trends in incidence and presentation of pediatric new-onset T1D and T2D during the second year of the COVID-19 pandemic. Methods A retrospective chart review was conducted. Demographics, anthropometrics, and initial laboratory results from patients aged 0 to 21 years who presented with new-onset diabetes to a pediatric tertiary care center were recorded. Results The incident cases of T1D (n = 46) and T2D (n = 46) in 2021-2022 (second year of the pandemic) were consistent with the incident cases of T1D (n = 46) and T2D (n = 53) in 2020 to 2021 (first year of the pandemic). Compared to the incident cases of diabetes in the prepandemic years, in the second year, the incident cases of T1D increased 48%, and the incident cases of T2D increased 188%. In the second year of the pandemic, incident cases of T2D represented half (50%) of all newly diagnosed pediatric diabetes cases. Patients with T2D were more likely to present in diabetic ketoacidosis, though this was not statistically significant (P = .08). Conclusion The increase in incident cases of pediatric T1D and T2D observed during the first year of the COVID-19 pandemic persisted during the second pandemic year. This suggests that despite pediatric vaccination efforts and return to social in-person activities, we may continue to see effects of the pandemic on pediatric diabetes trends.

Funder

Duke University Pediatric Departmental Support

Duke Strong Start Award Program

Gall Family Support

National Institutes of Health

Publisher

The Endocrine Society

Subject

Endocrinology, Diabetes and Metabolism

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