Preprint Review Version 2 This version is not peer-reviewed

COVID-19: Considerations for Children and Adolescents with Diabetes

Version 1 : Received: 12 April 2020 / Approved: 14 April 2020 / Online: 14 April 2020 (15:21:52 CEST)
Version 2 : Received: 14 May 2020 / Approved: 15 May 2020 / Online: 15 May 2020 (04:54:43 CEST)

How to cite: Dayal, D.; Yadav, A. COVID-19: Considerations for Children and Adolescents with Diabetes. Preprints 2020, 2020040225 (doi: 10.20944/preprints202004.0225.v2). Dayal, D.; Yadav, A. COVID-19: Considerations for Children and Adolescents with Diabetes. Preprints 2020, 2020040225 (doi: 10.20944/preprints202004.0225.v2).

Abstract

Recent reports suggest that the clinical course of coronavirus disease 2019 (COVID-19) in previously healthy children is usually milder as compared to adults. However, children with comorbid conditions such as diabetes are at increased risk of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as well as morbidity and mortality due to COVID-19. Experience in adults with diabetes shows that they are prone to faster metabolic decompensation, develop diabetes-related complications, and have a poor prognosis when hospitalized with COVID-19. Data on children are limited. The aim of this mini-review is to discuss the possible risks to children and adolescents with diabetes during the current pandemic and the special considerations in management in those affected with COVID-19. The challenges for children who develop new-onset type 1 diabetes during the COVID-19 lockdown, especially in accessing healthcare, are also discussed.

Subject Areas

Coronavirus disease 2019; COVID-19; children; diabetes; type 1 diabetes; type 2 diabetes; recommendations

Comments (1)

Comment 1
Received: 15 May 2020
Commenter: Devi Dayal
Commenter's Conflict of Interests: Author
Comment: Consideration for children with new-onset diabetes have been added (page 9 and 10). The addition of new text also required minor changes in the abstract and conclusions. The references were updated. Another author who helped in reviewing and analysing new data, was dded.

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