ESPE2023 Poster Category 2 Diabetes and Insulin (27 abstracts)
The effect of COVID-19 pandemic restrictions on the frequency of diabetic ketoacidosis at the time of diagnosis in children with type 1 diabetes
Ihsan Esen 1 , Selami Kocaman 2 , Nurdan Yıldırım Acar 1 , Firdevs Dilara Paksoy 1 & Deniz Okdemir 1
1Firat University Medical School, Elazig, Turkey. 2Elazig Fethi Sekin Hospital, Elazig, Turkey
Objective: The aim of this study was to investigate the effect of COVID-19 pandemic restrictions on the frequency of diabetic ketoacidosis (DKA) at the time of diagnosis in children with type 1 diabetes (T1D).
Method: The medical records of children with T1D who were diagnosed between 16.03.2018 and 16.03.2022 in pediatric endocrinology clinics in Elazig province in Turkey were retrospectively reviewed for the presence of DKA at the time of diagnosis (pH<7.3 or HCO3 <18 mmol/L), severe DKA (pH<7.1 or HCO3 <5 mmol/L). The two-year period before and after 16.03.2020, when the pandemic restrictions started in our country, was compared.
Results: In the pre-pandemic and post-pandemic period, 82 children, 46 (56.1%) were boys, and 106 children, 50 (47.2%) were boys, were diagnosed with T1D. When the periods were compared, DKA frequencies were 48/82 (58.5%) and 67/106 (63.6%) (P=0.515), respectively; severe DKA frequencies were 11/82 (13.4%) and 21/106 (19.6%)(P=0.247), respectively.
Conclusion: In this group of children with T1D, COVID-19 pandemic restrictions did not make a difference in the frequency of DKA and severe DKA at the time of diagnosis.
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