COVID-19 may accelerate the development of type 1 diabetes in kids

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Catching COVID-19 may speed up the development of type 1 diabetes in children, according to German researchers. They studied 591 kids with presymptomatic type 1 diabetes between 2015 and 2023. They followed 358 kids up until March 2020, or before the pandemic, and 396 after March 2020, or during the pandemic. During the pre-pandemic period, 57 kids progressed to type 1 diabetes, while during the pandemic period, 113 kids progressed, so the rate roughly doubled after COVID-19 arrived. Of the 396 participants followed up since the pandemic, 353 had COVID-19 infection information. Of these, 236 had a COVID-19 infection, the scientists say. Crunching the numbers, they found having had COVID-19 roughly doubled the incidence of progression from asymptomatic to full-blown type 1 diabetes, so the accelerated progression only happened in kids with COVID-19. Further studies are required to determine whether COVID-19 also accelerates progression to type 1 diabetes in adults, the scientists say.

Media release

From: JAMA

About The Study: Follow-up of youth with pre-symptomatic type 1 diabetes demonstrated that the COVID-19 pandemic was associated with an accelerated progression to clinical disease and that this acceleration was confined to those with COVID-19. Further studies are required to determine whether COVID-19 also accelerates progression to type 1 diabetes in adults and whether vaccination and monitoring for COVID-19 symptoms should be considered for individuals with pre-symptomatic type 1 diabetes. 

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JAMA
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Organisation/s: German Center for Environmental Health, Germany
Funder: This work was supported by grants KKZ01KX1818 from the Federal Ministry of Education and Research (BMBF), G-2017PG-T1D023 from the Leona M. and Harry B. Helmsley Charitable Trust, NNF22SA0081044 from the Novo Nordisk Foundation (the 2022 EASD-Novo Nordisk Foundation Diabetes Prize for Excellence); and a grant from the Deutscher Diabetiker Bund. The Fr1da study was also supported by grants 1-SRA-2014–310-M-R, 3-SRA-2015–72-M-R, 3-SRA-2019–718-Q-R from JDRF International, HMGU 2014.01 and HMGU 2016.01 from LifeScience Stiftung, G-1911–3274 from the Leona M. and Harry B. Helmsley Charitable Trust, and from the German Center for Diabetes Research.
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