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. 2020 Nov 2;4(1):e000884.
doi: 10.1136/bmjpo-2020-000884. eCollection 2020.

Presentation of newly diagnosed type 1 diabetes in children and young people during COVID-19: a national UK survey

Sze May Ng  1   2 , Katherine Woodger  1 , Fiona Regan  3 , Astha Soni  4 , Neil Wright  5 , Juliana Chizo Agwu  6 , Eleri Williams  7 , Alison Timmis  8 , Melanie Kershaw  9 , Christopher Moudiotis  10 , Josephine Drew  11
Affiliations

Presentation of newly diagnosed type 1 diabetes in children and young people during COVID-19: a national UK survey

Sze May Ng et al. BMJ Paediatr Open. .

Abstract

In the UK, there have been reports of significant reductions in paediatric emergency attendances and visits to the general practitioners due to COVID-19. A national survey undertaken by the UK Association of Children's Diabetes Clinicians found that the proportion of new-onset type 1 diabetes (T1D) presenting with diabetes ketoacidosis (DKA) during this COVID-19 pandemic was higher than previously reported, and there has been an increase in presentation of severe DKA at diagnosis in children and young people under the age of 18 years. Delayed presentations of T1D have been documented in up 20% of units with reasons for delayed presentation ranging from fear of contracting COVID-19 to an inability to contact or access a medical provider for timely evaluation. Public health awareness and diabetes education should be disseminated to healthcare providers on the timeliness of referrals of children with T1D.

Keywords: endocrinology; epidemiology; health services research.

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Conflict of interest statement

Competing interests: None declared.

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