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.

Cureus
|April 6, 2022
PubMed

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.

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