Decline in case rates of youth onset type 2 diabetes in year three of the COVID-19 pandemic.

Publication date: Feb 28, 2024

To determine changes in case rates of youth onset type 2 diabetes in the three years following the COVID-19 pandemic. A single-center, retrospective medical record review was conducted for patients newly diagnosed with T2D between 3/1/18 and 2/28/23 at a pediatric tertiary care center. The number of patients referred to CHLA with a T2D diagnosis date between 3/1/2020 and 2/28/2023 was compared to historical rates between 3/1/2018 and 2/29/2020. χ or Fisher’s exact test was used to compare categorical variables between each year and 2019. Compared to prepandemic baseline (3/1/19-2/29/20, 11. 8+/-3. 7 cases/month), there was a significant increase in new T2D monthly case rates in pandemic year 1 (3/1/20-2/28/21, 20. 1+/-6. 0 cases/month, 171 %, p=0. 005) and pandemic year 2 (3/1/21-2/28/22, 25. 9+/-8. 9 cases/month, 221 %, p=0. 002). Case rates declined in pandemic year 3 to 14. 5+/-4. 1 cases/month (3/1/22-2/28/23, p=0. 43). Compared to prepandemic year 1, the frequency of DKA at diagnosis was higher in pandemic year 1 (13. 3 vs. 5. 0 %, p=0. 009). The DKA rate in pandemic years 2 (6. 8 %) and 3 (3. 4 %) were comparable to prepandemic year 1 (p=0. 53 and 0. 58, respectively). Youth onset type 2 diabetes cases and DKA rates in year 3 of the pandemic have returned to prepandemic level.

Concepts Keywords
Covid COVID-19
Diabetes type 2 diabetes
Pandemic youth onset
Youth

Semantics

Type Source Name
disease MESH type 2 diabetes
disease MESH COVID-19 pandemic
disease VO monthly
disease VO frequency

Original Article

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