PT  - JOURNAL ARTICLE
AU  - Sze May Ng
AU  - Katherine Woodger
AU  - Fiona Regan
AU  - Astha Soni
AU  - Neil Wright
AU  - Juliana Chizo Agwu
AU  - Eleri Williams
AU  - Alison Timmis
AU  - Melanie Kershaw
AU  - Christopher Moudiotis
AU  - Josephine Drew
TI  - Presentation of newly diagnosed type 1 diabetes in children and young people during COVID-19: a national UK survey
AID  - 10.1136/bmjpo-2020-000884
DP  - 2020 Nov 01
TA  - BMJ Paediatrics Open
PG  - e000884
VI  - 4
IP  - 1
4099  - http://bmjpaedsopen.bmj.com/content/4/1/e000884.short
4100  - http://bmjpaedsopen.bmj.com/content/4/1/e000884.full
SO  - BMJ Paediatrics Open2020 Nov 01; 4
AB  - In the UK, there have been reports of significant reductions in paediatric emergency attendances and visits to the general practitioners due to COVID-19. A national survey undertaken by the UK Association of Children’s Diabetes Clinicians found that the proportion of new-onset type 1 diabetes (T1D) presenting with diabetes ketoacidosis (DKA) during this COVID-19 pandemic was higher than previously reported, and there has been an increase in presentation of severe DKA at diagnosis in children and young people under the age of 18 years. Delayed presentations of T1D have been documented in up 20% of units with reasons for delayed presentation ranging from fear of contracting COVID-19 to an inability to contact or access a medical provider for timely evaluation. Public health awareness and diabetes education should be disseminated to healthcare providers on the timeliness of referrals of children with T1D.