The incidence of type 1 diabetes has risen during the COVID-19 pandemic, according to a recent meta-analysis.
The investigators reviewed 42 studies, including 17 that examined rates of type 1 diabetes incidence, 10 on, and 15 on DKA. The included studies all had a minimum observation period of 12 months during the pandemic and at least 12 months before it. Relative to the prepandemic period, the meta-analysis found higher rates of type 1 diabetes and DKA during the pandemic.
The investigators also sought to look at the incidence of type 2 diabetes in children but found few studies that met the study criteria. Although some studies reported rates of type 2 diabetes, most lacked information about the population, specifically, the"denominator" needed for findings regarding any association with the COVID-19 pandemic.
"DKA is a serious and life-threatening condition that is preventable," said Shulman. Symptoms of type 1 diabetes include increased thirst and urination, weight loss, and fatigue. If parents or caregivers notice these signs, Shulman advises them to seek care immediately to reduce the risk of DKA.
The meta-analysis did not seek to draw conclusions about the underlying mechanisms that would explain changes in diabetes incidence but rather indicates a need for further studies to seek a better understanding of the connection.
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