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Impact of lockdown during COVID-19 emergency on glucose metrics of children and adolescents with type 1 diabetes in Piedmont, Italy

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From late December 2019, Severe Acute Respiratory Syndrome Coronavirus 2 has spread throughout the world, with Italy recording the first outbreak in Europe. To limit contagion, the Italian government implemented… Click to show full abstract

From late December 2019, Severe Acute Respiratory Syndrome Coronavirus 2 has spread throughout the world, with Italy recording the first outbreak in Europe. To limit contagion, the Italian government implemented a national lockdown, which started in Piedmont (one of the most affected area in Italy) on February 23rd with schools. Complete lockdown, with sports and educational activities, started thereafter (9th of March 2020). Remote school lessons forced children and adolescents to stay home, with an overturned daily routine. Visits and scheduled checkups were canceled, further impacting physical and psychological health, with a potential negative outcome on glycemic control and acute complications. In fact, from early reports, risk of Coronavirus Disease-19 (COVID-19) progression to severe disease was higher among adult with diabetes [1]. However, children and adolescent with type 1 diabetes mellitus (T1DM) do not show higher morbidity and mortality related to COVID-19 [2]. We aimed to determine the impact of lockdown on patients with T1DM using a continuous glucose monitoring (CGM), and the effect of remote consultations on glucose metrics.

Keywords: glucose metrics; lockdown covid; impact lockdown; type diabetes; children adolescents

Journal Title: Acta Diabetologica
Year Published: 2021

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