Management of children and adolescents having type 1 diabetes during COVID-19 pandemic in India: challenges and solution
- PDF / 383,992 Bytes
- 5 Pages / 595.276 x 790.866 pts Page_size
- 22 Downloads / 133 Views
ORT ARTICLE
Management of children and adolescents having type 1 diabetes during COVID-19 pandemic in India: challenges and solutions Pratap Jethwani 1
&
B. Saboo 2 & L. Jethwani 1 & J. Kesavadev 3 & S. Kalra 4 & R. Sahay 5 & S. Agarwal 6 & D. Hasnani 7
Received: 24 June 2020 / Accepted: 19 August 2020 / Published online: 15 September 2020 # Research Society for Study of Diabetes in India 2020
Abstract Purpose Type 1 diabetes (T1D) requires a holistic approach and continuous care. The current COVID-19 pandemic has made the health care professionals realise its challenges even more ardently than in the normal times. In a country like India with its huge population burden and a significant number of people having T1D, the risk of COVID-19 in people having T1DM is considerably high. Methods In this article, we are sharing our practical experiences of problems faced by children and adolescents having T1DM during the past 2 months of lockdown. Results We have classified the challenges into 3 broad categories based on diabetes self-management, healthcare system and psychosocial aspects. We have tried to provide precise, comprehensive and region specific solutions to these challenges. Solutions briefly include maintaining the supply chain of essentials like insulin, syringes and glucose meter strips to psychological support, financial aid and support for hospitalization in case of COVID-19 itself or diabetes complications including diabetic ketoacidosis. Conclusions Children and adolescents having T1DM require special care and attention during this period of COVID-19 pandemic because of various challenges as discussed. Our proposed solutions may help them overcome these problems and help them in better diabetes management during such emergency situations. Keywords Type 1 diabetes . COVID-19 . Challenges . Solutions
Introduction As per IDF, there are estimated 1.1 million children and adolescents having type 1 diabetes (T1DM) globally [1]. India was home to 95,600 T1DM between 0 and 14 years of age
* Pratap Jethwani [email protected]; [email protected] 1
Jethwani Hospital, 5-Junction Plot, Rajkot-1, India
2
Diacare-Diabetes Care & Hormone Clinic, Ahmedabad, India
3
Jothydev’s Diabetes Research Center, Thiruvananthapuram, India
4
Department of Endocrinology, Bharati Hospital, Karnal, India
5
Department of Endocrinology, Osmania Medical College, Hyderabad, India
6
Department of Medicine, Ruby Hall Clinic, Pune, India
7
Diabetes Care Clinic, Ahmedabad, India
in 2019 and about 15,900 new cases diagnosed every year in the same age group [1]. Currently, mankind is facing a global pandemic of COVID-19, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection [2], with 18,575,326 people infected in more than 200 countries and 7,01,754 people who have died, as per the WHO as of 6 August 2020 [3]. The Indian numbers have now risen to 19,64,536 total reported positive cases and 40,699 deaths [4].
Type 1 diabetes and COVID-19 A recent study (currently under peer revie
Data Loading...
