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Caring for children and adolescents with type 1 diabetes mellitus: Italian Society for Pediatric Endocrinology and Diabetology (ISPED) statements during COVID-19 pandemia #MMPMID32827594
d'Annunzio G; Maffeis C; Cherubini V; Rabbone I; Scaramuzza A; Schiaffini R; Minuto N; Piccolo G; Maghnie M
Diabetes Res Clin Pract 2020[Oct]; 168 (?): 108372 PMID32827594show ga
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.
|Adolescent[MESH]
|Age of Onset[MESH]
|Betacoronavirus[MESH]
|COVID-19[MESH]
|Child[MESH]
|Child, Preschool[MESH]
|Coronavirus Infections/*epidemiology[MESH]
|Diabetes Mellitus, Type 1/epidemiology/*therapy[MESH]