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1- Pediatric Endocrinologist, Diabetes Reaserch Center of Mazandaran, Mazandaran University of Medical Sciences, Sari, Iran. ,
2- Medical Student, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
3- Department of Medical Biotechnology, School of Allied Medicine, Iran University of Medical Sciences, Tehran, Iran. Student Research Committee, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (59 Views)
Context: The Covid-19 pandemic limited the daily activities of children and adolescents with type 1 diabetes mellitus, and several factors are impacting ongoing care. The role of pandemics on glycemic control is unknown. We plan to assess glycemic status and the factors that influence it during the pandemic.
Evidence Acquisition: Considered databases such as PubMed, Scopus, Web of Science, and Science Direct, with English-type articles extracted from December 31, 2019 to March 3, 2022. Article review was based on factors influencing glycemic control in type 1 diabetes mellitus cases younger than 18 years of age during the pandemic period such as psychological factors, telemedicine role, lifestyle changes, various diabetes technology (cost, availability…), caregivers’ role, and socioeconomic factors.
Result: We scanned 573 articles as an initial search for title/abstract and full text review. 54 articles remained after title/abstract screening for full-text assessment which 14 articles (cohort studies) included. Most studies reported glycemic improvement based on blood glucose metrics while some studies reported stable glycemic control. Although the pre-pandemic glucose profile is important, factors such as telemedicine, diabetes technology and lifestyle play more tangible role in improving glycemic control during pandemic.
Conclusion: Overall, the studies did not contain strong evidence that glycemic control worsened in children and adolescents with type 1 diabetes mellitus during the pandemic. Although the assessment was conducted over a short period of time, a longer-term multicenter studies would be useful for a more precise assessment of the mentioned potential factors.
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Type of Study: Review Article | Subject: Endocrinology
Received: 2022/09/11 | Accepted: 2023/01/4

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