Caring for children and adolescents with type 1 diabetes mellitus: Italian Society for Pediatric Endocrinology and Diabetology (ISPED) statements during COVID-19 pandemia

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)....

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Veröffentlicht in:Diabetes research and clinical practice 2020-10, Vol.168, p.108372-108372, Article 108372
Hauptverfasser: d'Annunzio, Giuseppe, Maffeis, Claudio, Cherubini, Valentino, Rabbone, Ivana, Scaramuzza, Andrea, Schiaffini, Riccardo, Minuto, Nicola, Piccolo, Gianluca, Maghnie, Mohamad
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container_title Diabetes research and clinical practice
container_volume 168
creator d'Annunzio, Giuseppe
Maffeis, Claudio
Cherubini, Valentino
Rabbone, Ivana
Scaramuzza, Andrea
Schiaffini, Riccardo
Minuto, Nicola
Piccolo, Gianluca
Maghnie, Mohamad
description 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). 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. 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. 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.
doi_str_mv 10.1016/j.diabres.2020.108372
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source MEDLINE; ScienceDirect
subjects Adolescent
Age of Onset
Betacoronavirus
Child
Child, Preschool
Clinical recommendations
Clinical research
Coronavirus Infections - epidemiology
COVID-19
COVID-19 pandemia
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - therapy
Endocrinology - organization & administration
Endocrinology - standards
Female
Humans
Infant
Infant, Newborn
Infectious disease
Italy - epidemiology
Male
Pandemics
Pediatric age group
Pneumonia, Viral - epidemiology
Review
SARS-CoV-2
Societies, Medical
Telemedicine - organization & administration
Telemedicine - standards
Type 1 diabetes mellitus
title Caring for children and adolescents with type 1 diabetes mellitus: Italian Society for Pediatric Endocrinology and Diabetology (ISPED) statements during COVID-19 pandemia
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