Caring for children and adolescents with type 1 diabetes mellitus: Italian Society for Pediatric Endocrinology and Diabetology (ISPED) statements during COVID-19 pandemia

Giuseppe d'Annunzio, Claudio Maffeis, Valentino Cherubini, Ivana Rabbone, Andrea Scaramuzza, Riccardo Schiaffini, Nicola Minuto, Gianluca Piccolo, Mohamad Maghnie

Research output: Contribution to journalReview articlepeer-review

Abstract

AIMS: Our study aimed to review the impact of COVID-19 pandemia in children and adolescents with type 1 diabetes mellitus, to analyze the clinical characteristics of the infection and to propose clinical practice recommendations from the Italian Society for Pediatric Endocrinology and Diabetology (ISPED).

METHODS: A literature search was carried out in the guideline databases, Medline and Embase and in Diabetes Societies websites until May 21st, 2020 for guidelines and recommendations on type 1 diabetes mellitus management during COVID-19 pandemic.

RESULTS: COVID-19 infection in pediatric patients seems to be clinically less severe than in adults; children have so far accounted for 1-5% of diagnosed cases, with a median age of 6.7 years (1 day-15 years) and better prognosis. Clinical manifestations include mild, moderate, severe disease up to critical illness. There is currently no evidence suggesting a higher risk of COVID-19 infection in children with diabetes than unaffected peers. Besides general recommendations for pediatric patients, ISPED has proposed specific measures for patients with diabetes.

CONCLUSION: COVID-19 outbreak modified type 1 diabetes management, and telemedicine has been demonstrating to be an effective new tool for patients care. Moreover psychological aspects deserve attention and future researchs are mandatory.

Original languageEnglish
Pages (from-to)108372
JournalDiabetes Research and Clinical Practice
Volume168
DOIs
Publication statusPublished - Oct 2020

Keywords

  • Adolescent
  • Age of Onset
  • Betacoronavirus
  • COVID-19
  • Child
  • Child, Preschool
  • Coronavirus Infections/epidemiology
  • Diabetes Mellitus, Type 1/epidemiology
  • Endocrinology/organization & administration
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Italy/epidemiology
  • Male
  • Pandemics
  • Pneumonia, Viral/epidemiology
  • SARS-CoV-2
  • Societies, Medical
  • Telemedicine/organization & administration

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