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World J Diabetes . COVID-19 outbreak on the seasonality and incidence of pediatric type 1 diabetes mellitus

tetano

Editor, Senior Moderator
World J Diabetes


. 2026 Feb 15;17(2):113109.
doi: 10.4239/wjd.v17.i2.113109.
COVID-19 outbreak on the seasonality and incidence of pediatric type 1 diabetes mellitus

Andrea Scaramuzza[SUP] 1 [/SUP], Claudio Cavalli[SUP] 2 [/SUP]


Affiliations
Abstract

To respond to the recent study by Carmon et al on type 1 diabetes (T1DM) incidence/seasonality pre-coronavirus disease 2019 and peri-coronavirus disease 2019, we highlighted convergent findings from the Lombardy pediatric T1DM data (2017-2023). Carmon et al reported elevated T1DM incidence and lost seasonality in the pandemic first year in Israel, linking respiratory viral disruption to T1DM risk. Our data show a 2020 step-increase in Lombardy pediatric T1DM and stable elevated rates (2020-2023) unrelated to coronavirus disease 2021 vaccines. Combined Israeli-Italian data suggest the pandemic triggered lasting higher pediatric T1DM incidence, potentially via severe acute respiratory syndrome coronavirus 2-mediated beta cell damage or immunological shifts, emphasizing global surveillance needs for pandemic autoimmune disease links.

Keywords: COVID-19; Diabetes onset; Incidence; Pediatrics; Type 1 diabetes.

 
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