The coronavirus disease 2019(COVID-19)pandemic has heavily affected health worldwide,with the various forms of diabetes in children experiencing changes at various levels,including epidemiology,diabetic ketoacidosis r...The coronavirus disease 2019(COVID-19)pandemic has heavily affected health worldwide,with the various forms of diabetes in children experiencing changes at various levels,including epidemiology,diabetic ketoacidosis rates and medical care.Type 1 diabetes showed an apparent increase in incidence,possibly owing to a direct damage of the virus to theβ-cell.Diabetic ketoacidosis also increased in association with the general fear of referring patients to the hospital.Most children with diabetes(both type 1 and type 2)did not show a worsening in metabolic control during the first lockdown,possibly owing to a more controlled diet by their parents.Glucose sensor and hybrid closed loop pump technology proved to be effective in all patients with type 1 diabetes during the pandemic,especially because the downloading of data allowed for the practice of telemedicine.Telemedicine has in fact grown around the world and National Health Systems have started to consider it as a routine activity in clinical practice.The present review encompasses all the aspects related to the effects of the pandemic on the different forms of diabetes in children.展开更多
文摘The coronavirus disease 2019(COVID-19)pandemic has heavily affected health worldwide,with the various forms of diabetes in children experiencing changes at various levels,including epidemiology,diabetic ketoacidosis rates and medical care.Type 1 diabetes showed an apparent increase in incidence,possibly owing to a direct damage of the virus to theβ-cell.Diabetic ketoacidosis also increased in association with the general fear of referring patients to the hospital.Most children with diabetes(both type 1 and type 2)did not show a worsening in metabolic control during the first lockdown,possibly owing to a more controlled diet by their parents.Glucose sensor and hybrid closed loop pump technology proved to be effective in all patients with type 1 diabetes during the pandemic,especially because the downloading of data allowed for the practice of telemedicine.Telemedicine has in fact grown around the world and National Health Systems have started to consider it as a routine activity in clinical practice.The present review encompasses all the aspects related to the effects of the pandemic on the different forms of diabetes in children.