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A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
Published on: July 5, 2022
New-Onset Type 1 Diabetes in Children With SARS-CoV-2 Infection
Shashikanth Ambati1, Maya Mihic2, David Charles Rosario2
1Division of Pediatric Critical Care, Albany Medical Center, Albany, USA.
Insights
The SARS-CoV-2 pandemic has seen a rise in diabetic ketoacidosis cases in children. This report investigates if SARS-CoV-2 infection can trigger new-onset diabetes and diabetic ketoacidosis in children without prior diabetes history.
Area of Science:
- Pediatrics
- Endocrinology
- Infectious Diseases
Background:
- The COVID-19 pandemic correlates with increased diabetic ketoacidosis (DKA) in pediatric patients.
- Infections are known DKA triggers in children with existing diabetes mellitus.
- The role of SARS-CoV-2 in triggering new-onset diabetes and DKA in previously healthy children is under-explored.
Observation:
- This case report details two pediatric patients presenting with DKA and concurrent SARS-CoV-2 infection.
- Neither child had a prior diagnosis of diabetes mellitus.
- The findings suggest a potential link between SARS-CoV-2 infection and new-onset diabetes in children.
Findings:
- SARS-CoV-2 infection may act as a trigger for new-onset diabetes mellitus and DKA in the pediatric population.
- The study highlights the importance of considering SARS-CoV-2 as a potential cause of new-onset diabetes in children presenting with DKA.
- Further research is warranted to confirm the association and understand the underlying mechanisms.
Implications:
- These findings underscore the need for increased vigilance among healthcare providers regarding new-onset diabetes in children during the SARS-CoV-2 pandemic.
- Early recognition and management of DKA in children with concurrent SARS-CoV-2 infection are crucial.
- This research contributes to understanding the broader metabolic impacts of SARS-CoV-2 infection in pediatric populations.
Abstract:
There has been a worldwide increase in cases of diabetic ketoacidosis in both adults and children with diabetes during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. This can be multifactorial: delayed care due to reduced medical services, fear of approaching hospitals, or SARS-CoV-2 infection itself. It is well-known that infection is an important trigger for diabetic ketoacidosis in children with type 1 or type 2 diabetes mellitus, but little is known whether SARS-CoV-2 infection can trigger diabetic ketoacidosis and new-onset diabetes mellitus in a child with no previous history of diabetes mellitus. The association of SARS-CoV-2 as a trigger for new-onset diabetes requires further investigation, as the incidence of diabetes is steadily rising in the pediatric population during the pandemic. This case report explores two cases where children present in diabetic ketoacidosis with concurrent SARS-CoV-2 infection and no known history of type 1 diabetes mellitus.
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