Abstract

The authors analysed data from the German Diabetes Prospective Follow-up Registry (DPV) of children and adolescents with Type 1 diabetes (T1D) between March 13 to May 13, 2020, when most kindergartens and schools in Germany were closed due to COVID-19 restrictions. Compared to the previous 2 years, the risk of diabetic ketoacidosis (DKA) at T1D onset was nearly double during COVID-19 lockdown (adjusted relative risk: 1.84; 95% CI, 1.54-2.21) and the increased risk was highest in young children age < 6 years (2.75; 95% CI, 1.88-4.02).

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