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Vorgučin I, Savin M, Stanković Đ, Miljković D, Ilić T, Simić D, Vrebalov M, Milanović B, Barišić N, Stojanović V, Vijatov-Đurić G, Koprivšek K, Vilotijević-Dautović G, Antić J. Incidence of Type 1 Diabetes Mellitus and Characteristics of Diabetic Ketoacidosis in Children and Adolescents during the First Two Years of the COVID-19 Pandemic in Vojvodina. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:medicina58081013. [PMID: 36013479 PMCID: PMC9415410 DOI: 10.3390/medicina58081013] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 07/23/2022] [Accepted: 07/26/2022] [Indexed: 11/26/2022]
Abstract
Background and Objectives: The COVID-19 pandemic has led to significant changes globally, which has also affected patients with type 1 diabetes mellitus (T1DM). This study aimed to determine the incidence of T1DM and the characteristics of diabetic ketoacidosis (DKA) during the pandemic comparing it to pre-pandemic period. Materials and Methods: Data from patients <19 years with newly diagnosed T1DM between 1st January 2017 and 31st December 2021 from four regional centers in Vojvodina were retrospectively collected and analyzed. Results: In 2021, the highest incidence of T1DM in the last five years was recorded, 17.3/100,000. During the pandemic period (2020−2021), there were 99 new-onset T1DM, of which 42.4% presented in DKA, which is significantly higher than in the pre-pandemic period (34.1%). During the pandemic, symptom duration of T1DM lasted significantly longer than before the COVID-19 period. At the age of 10−14 years, the highest incidence of T1DM and COVID-19, the highest frequency rate of DKA, and severe DKA were observed. Conclusions: The pandemic is associated with a high incidence rate of T1DM, longer duration of symptoms of T1DM, a high frequency of DKA, and a severe DKA at diagnosis. Patients aged 10−14 years are a risk group for the occurrence of T1DM with severe clinical presentation. Additional studies are needed with a longer study period and in a wider geographical area, with data on exposure to COVID-19 infection, the permanence of new-onset T1DM, and the psychosocial impact of the pandemic.
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Affiliation(s)
- Ivana Vorgučin
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
- Correspondence: (I.V.); (Đ.S.); Tel.: +381-21-4880-468 (I.V.)
| | - Marijana Savin
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Đurđina Stanković
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Correspondence: (I.V.); (Đ.S.); Tel.: +381-21-4880-468 (I.V.)
| | - Dejan Miljković
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Tatjana Ilić
- General Hospital Subotica, 24000 Subotica, Serbia;
| | | | | | - Borko Milanović
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Nenad Barišić
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Vesna Stojanović
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Gordana Vijatov-Đurić
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Katarina Koprivšek
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Gordana Vilotijević-Dautović
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Jelena Antić
- Institute for Child and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia; (M.S.); (B.M.); (N.B.); (V.S.); (G.V.-Đ.); (K.K.); (G.V.-D.); (J.A.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
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