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Published in: Endocrine 2/2023

03-12-2022 | SARS-CoV-2 | Review

Covid-19 infection in children and adolescents and its association with type 1 diabetes mellitus (T1d) presentation and management

Authors: Kyriaki Karavanaki, Kalliopi Rodolaki, Alexandra Soldatou, Spyridon Karanasios, Kostas Kakleas

Published in: Endocrine | Issue 2/2023

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Abstract

Children seem to be affected by the new SARS-CoV-2 virus less severely than adults, with better prognosis and low mortality. Serious complications of COVID-19 infection in children include multisystem inflammatory response syndrome in COVID-19 infection (MIS-C), myo-or pericarditis and, less frequently, long COVID syndrome. On the other hand, adults with type 1 (T1D) or type 2 diabetes (T2D) are among the most vulnerable groups affected by COVID-19, with increased morbidity and mortality. Moreover, an association of SARS-CoV-2 with diabetes has been observed, possibly affecting the frequency and severity of the first clinical presentation of T1D or T2D, as well as the development of acute diabetes after COVID-19 infection. The present review summarizes the current data on the incidence of T1D among children and adolescents during the COVID-19 pandemic, as well as its severity. Moreover, it reports on the types of newly diagnosed diabetes after COVID infection and the possible pathogenetic mechanisms. Additionally, this study presents current data on the effect of SARS-CoV-2 on diabetes control in patients with known T1D and on the severity of clinical presentation of COVID infection in these patients. Finally, this review discusses the necessity of immunization against COVID 19 in children and adolescents with T1D.
Literature
1.
go back to reference M.T. Adil, R. Rahman, D. Whitelaw, V. Jain, O. Al-Taan, F. Rashid et al. SARS-CoV-2 and the pandemic of COVID-19. Postgrad. Med. J. 97(1144), 110–116 (2021)CrossRefPubMed M.T. Adil, R. Rahman, D. Whitelaw, V. Jain, O. Al-Taan, F. Rashid et al. SARS-CoV-2 and the pandemic of COVID-19. Postgrad. Med. J. 97(1144), 110–116 (2021)CrossRefPubMed
10.
go back to reference A. Tajbakhsh, K.R. Jaberi, S.M.G. Hayat, M. Sharifi, T.P. Johnston, P.C. Guest et al. Age-specific differences in the severity of COVID-19 between children and adults: reality and reasons. Adv. Exp. Med. Biol. 1327, 63–78 (2021)CrossRefPubMed A. Tajbakhsh, K.R. Jaberi, S.M.G. Hayat, M. Sharifi, T.P. Johnston, P.C. Guest et al. Age-specific differences in the severity of COVID-19 between children and adults: reality and reasons. Adv. Exp. Med. Biol. 1327, 63–78 (2021)CrossRefPubMed
14.
go back to reference E.J. Giamarellos-Bourboulis, M.G. Netea, N. Rovina, K. Akinosoglou, A. Antoniadou, N. Antonakos et al. Complex immune dysregulation in COVID-19 patients with severe respiratory failure. Cell Host Microbe 27(992–1000), e3 (2020) E.J. Giamarellos-Bourboulis, M.G. Netea, N. Rovina, K. Akinosoglou, A. Antoniadou, N. Antonakos et al. Complex immune dysregulation in COVID-19 patients with severe respiratory failure. Cell Host Microbe 27(992–1000), e3 (2020)
24.
go back to reference F. Reschke, S. Lanzinger, V. Herczeg, P. Prahalad, R. Schiaffini, D Mul, et al., SWEET Study Group. The COVID-19 Pandemic affects seasonality, with increasing cases of new-onset type 1 diabetes in children, from the worldwide SWEET registry. Diabetes Care dc220278 (2022). https://doi.org/10.2337/dc22-0278 F. Reschke, S. Lanzinger, V. Herczeg, P. Prahalad, R. Schiaffini, D Mul, et al., SWEET Study Group. The COVID-19 Pandemic affects seasonality, with increasing cases of new-onset type 1 diabetes in children, from the worldwide SWEET registry. Diabetes Care dc220278 (2022). https://​doi.​org/​10.​2337/​dc22-0278
27.
go back to reference C.E. Barrett, A.K. Koyama, P. Alvarez, W. Chow, E.A. Lundeen, C.G. Perrine et al. Risk for newly diagnosed diabetes > 30 days after SARS-CoV-2 infection among persons aged <18 years—United States, March 1, 2020–June 28, 2021 Morb. Mortal. Wkly Rep. 71(2):59–65 (2022). https://doi.org/10.15585/mmwr.mm7102e2 C.E. Barrett, A.K. Koyama, P. Alvarez, W. Chow, E.A. Lundeen, C.G. Perrine et al. Risk for newly diagnosed diabetes > 30 days after SARS-CoV-2 infection among persons aged <18 years—United States, March 1, 2020–June 28, 2021 Morb. Mortal. Wkly Rep. 71(2):59–65 (2022). https://​doi.​org/​10.​15585/​mmwr.​mm7102e2
29.
go back to reference D. Al-Abdulrazzaq, A. Alkandari, F. Alhusaini, N. Alenazi, U.P. Gujral, K.M.V. Narayan, H. Al-Kandari, Higher rates of diabetic ketoacidosis and admission to the paediatric intensive care unit among newly diagnosed children with type 1 diabetes in Kuwait during the COVID-19 pandemic. Diabetes Metab. Res. Rev. 38(3), e3506 (2022). https://doi.org/10.1002/dmrr.3506CrossRefPubMed D. Al-Abdulrazzaq, A. Alkandari, F. Alhusaini, N. Alenazi, U.P. Gujral, K.M.V. Narayan, H. Al-Kandari, Higher rates of diabetic ketoacidosis and admission to the paediatric intensive care unit among newly diagnosed children with type 1 diabetes in Kuwait during the COVID-19 pandemic. Diabetes Metab. Res. Rev. 38(3), e3506 (2022). https://​doi.​org/​10.​1002/​dmrr.​3506CrossRefPubMed
31.
go back to reference D. Pitocco, L. Tartaglione, L. Viti, M. Di Leo, A. Manto, S. Caputo et al. Lack of type 1 diabetes involvement in SARS-COV-2 population: Only a particular coincidence? Diabetes Res. Clin. Pract. 164, 108220 (2020)CrossRefPubMedPubMedCentral D. Pitocco, L. Tartaglione, L. Viti, M. Di Leo, A. Manto, S. Caputo et al. Lack of type 1 diabetes involvement in SARS-COV-2 population: Only a particular coincidence? Diabetes Res. Clin. Pract. 164, 108220 (2020)CrossRefPubMedPubMedCentral
34.
go back to reference O.M. Alfayez, K.S. Aldmasi, N.H. Alruwais, N.M. Bin Awad, M.S. Al Yami, O.A. Almohammed, A.R. Almutairi, Incidence of diabetic ketoacidosis among pediatrics with type 1 diabetes prior to and during COVID-19 Pandemic: a meta-analysis of observational studies. Front. Endocrinol. 13, 856958 (2022). https://doi.org/10.3389/fendo.2022.856958CrossRef O.M. Alfayez, K.S. Aldmasi, N.H. Alruwais, N.M. Bin Awad, M.S. Al Yami, O.A. Almohammed, A.R. Almutairi, Incidence of diabetic ketoacidosis among pediatrics with type 1 diabetes prior to and during COVID-19 Pandemic: a meta-analysis of observational studies. Front. Endocrinol. 13, 856958 (2022). https://​doi.​org/​10.​3389/​fendo.​2022.​856958CrossRef
35.
go back to reference I. Rabbone, R. Schiaffini, V. Cherubini, C. Maffeis, A. Scaramuzza,Diabetes Study Group of the Italian Society for Pediatric Endocrinology and Diabetes, Has COVID-19 delayed the diagnosis and worsened the presentation of type 1 diabetes in children?. Diabetes Care 43(11), 2870–2872 (2020). https://doi.org/10.2337/dc20-1321CrossRefPubMed I. Rabbone, R. Schiaffini, V. Cherubini, C. Maffeis, A. Scaramuzza,Diabetes Study Group of the Italian Society for Pediatric Endocrinology and Diabetes, Has COVID-19 delayed the diagnosis and worsened the presentation of type 1 diabetes in children?. Diabetes Care 43(11), 2870–2872 (2020). https://​doi.​org/​10.​2337/​dc20-1321CrossRefPubMed
37.
go back to reference B. Predieri, F. Leo, F. Candia, L. Lucaccioni, S.F. Madeo, M. Pugliese, V. Vivaccia, P. Bruzzi, L. Iughetti, Glycemic control improvement in italian children and adolescents with type 1 diabetes followed through telemedicine during lockdown due to the COVID-19 pandemic. Front. Endocrinol. 11, 595735 (2020). https://doi.org/10.3389/fendo.2020.595735CrossRef B. Predieri, F. Leo, F. Candia, L. Lucaccioni, S.F. Madeo, M. Pugliese, V. Vivaccia, P. Bruzzi, L. Iughetti, Glycemic control improvement in italian children and adolescents with type 1 diabetes followed through telemedicine during lockdown due to the COVID-19 pandemic. Front. Endocrinol. 11, 595735 (2020). https://​doi.​org/​10.​3389/​fendo.​2020.​595735CrossRef
44.
go back to reference K. Karavanaki, E. Tsoka, M. Liacopoulou, C. Karayianni, V. Petrou, E. Pippidou, M. Brisimitzi, M. Mavrikiou, K. Kakleas, C. Dacou-Voutetakis, Psychological stress as a factor potentially contributing to the pathogenesis of Type 1 diabetes mellitus. J. Endocrinol. Investig. 31(5), 406–415 (2008). https://doi.org/10.1007/BF03346384CrossRef K. Karavanaki, E. Tsoka, M. Liacopoulou, C. Karayianni, V. Petrou, E. Pippidou, M. Brisimitzi, M. Mavrikiou, K. Kakleas, C. Dacou-Voutetakis, Psychological stress as a factor potentially contributing to the pathogenesis of Type 1 diabetes mellitus. J. Endocrinol. Investig. 31(5), 406–415 (2008). https://​doi.​org/​10.​1007/​BF03346384CrossRef
62.
go back to reference B.M. Schulte, J. Bakkers, K.H. Lanke, W.J. Melchers, C. Westerlaken, W. Allebes, H.J. Aanstoot, G.J. Bruining, G.J. Adema, F.J. Van Kuppeveld, J.M. Galama, Detection of enterovirus RNA in peripheral blood mononuclear cells of type 1 diabetic patients beyond the stage of acute infection. Viral Immunol. 23(1), 99e104 (2010). https://doi.org/10.1089/vim.2009.0072CrossRef B.M. Schulte, J. Bakkers, K.H. Lanke, W.J. Melchers, C. Westerlaken, W. Allebes, H.J. Aanstoot, G.J. Bruining, G.J. Adema, F.J. Van Kuppeveld, J.M. Galama, Detection of enterovirus RNA in peripheral blood mononuclear cells of type 1 diabetic patients beyond the stage of acute infection. Viral Immunol. 23(1), 99e104 (2010). https://​doi.​org/​10.​1089/​vim.​2009.​0072CrossRef
75.
go back to reference M. Noori, S.A. Nejadghaderi, M.J.M. Sullman, K. Carson-Chahhoud, A.A. Kolahi, S. Safiri, Epidemiology, prognosis andmanagement of potassium disorders in Covid-19. Rev. Med. Virol. 32(1), e2262 (2022). M. Noori, S.A. Nejadghaderi, M.J.M. Sullman, K. Carson-Chahhoud, A.A. Kolahi, S. Safiri, Epidemiology, prognosis andmanagement of potassium disorders in Covid-19. Rev. Med. Virol. 32(1), e2262 (2022).
86.
go back to reference J. Chen, Y.F. Lau, E.W. Lamirande, C.D. Paddock, J.H. Bartlett, S.R. Zaki et al. Cellular immune responses to severe acute respiratory syndrome coronavirus (SARS-CoV) infection in senescent BALB/c mice: CD4+T cells are important in control of SARS-CoV infection. J. Virol. 84(3), 1289–1301 (2010). https://doi.org/10.1128/JVI.01281-09CrossRefPubMed J. Chen, Y.F. Lau, E.W. Lamirande, C.D. Paddock, J.H. Bartlett, S.R. Zaki et al. Cellular immune responses to severe acute respiratory syndrome coronavirus (SARS-CoV) infection in senescent BALB/c mice: CD4+T cells are important in control of SARS-CoV infection. J. Virol. 84(3), 1289–1301 (2010). https://​doi.​org/​10.​1128/​JVI.​01281-09CrossRefPubMed
92.
go back to reference C.E. Barrett, A.K. Koyama, P. Alvarez, W. Chow, E.A. Lundeen, C.G. Perrine et al. Risk for newly diagnosed diabetes > 30 days after SARS-CoV-2 infection among persons aged <18 years - United States, March 1, 2020–June 28, 2021. Morb. Mortal. Wkly Rep. 71(2), 59–65 (2022). https://doi.org/10.15585/mmwr.mm7102e2CrossRef C.E. Barrett, A.K. Koyama, P. Alvarez, W. Chow, E.A. Lundeen, C.G. Perrine et al. Risk for newly diagnosed diabetes > 30 days after SARS-CoV-2 infection among persons aged <18 years - United States, March 1, 2020–June 28, 2021. Morb. Mortal. Wkly Rep. 71(2), 59–65 (2022). https://​doi.​org/​10.​15585/​mmwr.​mm7102e2CrossRef
96.
go back to reference M. Stein, L. Ashkenazi-Hoffnung, D. Greenberg, I. Dalal, G. Livni, G. Chapnick et al. The burden of COVID-19 in children and its prevention by vaccination: a joint statement of the Israeli Pediatric Association and the Israeli Society for Pediatric Infectious Diseases. Vaccines (Basel) 10(1), 81 (2022). https://doi.org/10.3390/vaccines10010081CrossRefPubMed M. Stein, L. Ashkenazi-Hoffnung, D. Greenberg, I. Dalal, G. Livni, G. Chapnick et al. The burden of COVID-19 in children and its prevention by vaccination: a joint statement of the Israeli Pediatric Association and the Israeli Society for Pediatric Infectious Diseases. Vaccines (Basel) 10(1), 81 (2022). https://​doi.​org/​10.​3390/​vaccines10010081​CrossRefPubMed
97.
go back to reference American Diabetes Association. Diabetes and Coronavirus (COVID-19) American Diabetes Association. Diabetes and Coronavirus (COVID-19)
99.
go back to reference R.K. Borchering, L.C. Mullany, E. Howerton, M. Chinazzi, C.P. Smith, M. Qin et al., Impact of SARS-CoV-2 vaccination of children ages 5-11 years on COVID-19 disease burden and resilience to new variants in the United States, November 2021–March 2022: a multi-model study. MedRxiv 2022; 2022.03.08.22271905. https://doi.org/10.1101/2022.03.08.22271905. Preprint R.K. Borchering, L.C. Mullany, E. Howerton, M. Chinazzi, C.P. Smith, M. Qin et al., Impact of SARS-CoV-2 vaccination of children ages 5-11 years on COVID-19 disease burden and resilience to new variants in the United States, November 2021–March 2022: a multi-model study. MedRxiv 2022; 2022.03.08.22271905. https://​doi.​org/​10.​1101/​2022.​03.​08.​22271905. Preprint
Metadata
Title
Covid-19 infection in children and adolescents and its association with type 1 diabetes mellitus (T1d) presentation and management
Authors
Kyriaki Karavanaki
Kalliopi Rodolaki
Alexandra Soldatou
Spyridon Karanasios
Kostas Kakleas
Publication date
03-12-2022
Publisher
Springer US
Published in
Endocrine / Issue 2/2023
Print ISSN: 1355-008X
Electronic ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-022-03266-7

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