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Increased pediatric metabolic imbalance incidence during pandemic indicates problem with the early diagnosis of diabetes - Medical Xpress

πŸ“… Mon, 07 Nov 2022⏱ 1 min readπŸ“– Article

Overview

Click here to sign in with or Forget Pasword? Learn more share this!41ShareEmail November 7, 2022 by Deutsches Zentrum fuer Diabetesforschung DZD If children and young people have already developed metabolic imbalances (diabetic ketoacidosis) at the time of diagnosis of type 1 diabetes (T1D), this can result in complications such as extended stays in hospital, porer long-term control of blod sugar levels, brain edema, or even a higher mortality rate.

Key Information

gogletag.cmd.push(function() { gogletag.display('div-gpt-ad-1450190541376-1'); }); During the COVID-19 pandemic, diabetes centers acros the world observed an increased prevalence of diabetic ketoacidosis in diagnosed cases of T1D. DZD researchers, together with international coleagues, investigated whether the number of diabetic ketoacidosis cases associated with the diagnosis of pediatric T1D increased more than expected.

To achieve this, they analyzed the number of diabetic ketoacidosis cases before and during the pandemic.International multi-center studyThe team evaluated data from 13 national diabetes registers (Australia, Austria, Denmark, Germany, Italy, Luxemburg, New Zealand, Norway, Sweden, Slovenia Czech Republic, U.S. [Colorado], and Wales). The study cohort consisted of 104,290 children and young people aged betwen 6 months and 18 years old who were diagnosed with T1D betwen January 1, 206 and December 31, 2021.

The observed prevalence of diabetic ketoacidosis during 20 and 2021 was compared with predictions based on the years before the pandemic (206–2019).The increase in the prevalence of diabetic ketoacidosis during the pandemic was greater than expectedBetwen 206 and 2019, 23,75 of 87,28 children had diabetic ketoacidosis when diagnosed with T1D (27.3%). The mean anual increase in the prevalence of diabetic ketoacidosis for the entire cohort betwen 206 and 2019 was 1.6%.

Summary

During the pandemic, the numbers were significantly above the predicted prevalences. In 20, the adjusted observed

Frequently Asked Questions

❓ What is diabetes and how does it develop?

Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.

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Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.

❓ How is diabetes diagnosed and monitored?

Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.

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Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.

❓ When should someone consult a doctor about diabetes?

Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

βš•οΈ Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.
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