Caring for children and adolescents with type 1 diabetes mellitus: italian soci- ety for pediatric and adolescent diabetes (ISPED) Statements during COV- ID-19 pandemia

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 and Adolescent Endocrinology (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, and children have so far accounted for 1-5% of diagnosed cases, and a median age of 6.7 years (1 day-15 years) with better prognoses. 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 recommendation 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.

• Tipo de recurso: Article of investigation
• Fecha de publicación: 2020
• Institución: Universidad de Bogotá Jorge Tadeo Lozano
• Repositorio: Expeditio: repositorio UTadeo
• Idioma: eng
• OAI Identifier: oai:expeditiorepositorio.utadeo.edu.co:20.500.12010/12367
• Acceso en línea: https://doi.org/10.1016/j.diabres.2020.108372; http://hdl.handle.net/20.500.12010/12367
• Palabra clave: COVID-19; Children and adolescents; Diabetes mellitus; Síndrome respiratorio agudo grave; COVID-19; SARS-CoV-2; Coronavirus
• License: Acceso restringido