ESPE Abstracts

Children with early signs and symptoms of Type 1 Diabetes need to be diagnosed promptly, before they become acutely unwell with diabetic ketoacidosis (DKA). Early diagnosis and optimal management of established DKA is key to reducing morbidity and mortality. To follow the evidence based standards. To assess whether the newly diagnosed type 1 diabetes were in DKA at presentation or not. To assess compliance to guidelines on admission. As per retrospective cohort study, charts of newly diagnosed type 1 diabetes over one year study period reviewed. Proportion of new on- set type 2 diabetes presentating during this COVID-19 pandemic was higher then previously reported. There was an increase in presentation of severe DKA at diagnosis in children and young people under the age of 16 years old. we were not sure what could account for this rise in proportion. Delayed presentation ranging fear from of contracting COVID to an inability to contact or access a medical provider for timely evaluation. Multicultural nature of our study population could also be a factor. More public health awareness and diabetes education should be disseminated to healthcare providers on the timeliness of referrals of children with suspected T1D.