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Kamrath C, Mönkemöller K, Biester T, et al. Ketoacidosis in Children and Adolescents With Newly Diagnosed Type 1 Diabetes During the COVID-19 Pandemic in Germany. JAMA. Published online July 20, 2020. doi:10.1001/jama.2020.13445
During the coronavirus disease 2019 (COVID-19) pandemic, a significantly lower rate of health care use has been reported, potentially leading to delayed medical care.1 Diabetic ketoacidosis is an acute life-threatening complication of a delayed diagnosis of type 1 diabetes.2 We investigated the frequency of diabetic ketoacidosis in children and adolescents at diagnosis of type 1 diabetes in Germany during the first 2 months of the COVID-19 pandemic.
This study used data from the German Diabetes Prospective Follow-up Registry (DPV) of children and adolescents with the diagnosis of type 1 diabetes between March 13, 2020, when most kindergartens and schools were closed to reduce interpersonal contacts, through May 13, 2020. The DPV registry has a nationwide coverage of more than 90% of pediatric patients with type 1 diabetes.3 Since 2018, 217 diabetes centers (hospitals and medical practices) have transferred information from pediatric patients with newly diagnosed type 1 diabetes.
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