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Understanding the association between COVID-19 and new-onset diabetes in children, including diabetic ketoacidosis (DKA)
  1. Marion Waite1,
  2. Katie Hards2
  1. 1 Oxford School of Nursing and Midwifery, Oxford Brookes University, Oxford, UK
  2. 2 Oxford Centre for Diabetes, Endocrinology and Metabolism (OCDEM), Churchill Hospital, Oxford University Hospital Trust, Oxford, UK
  1. Correspondence to Dr Marion Waite, Oxford School of Nursing and Midwifery, Oxford Brookes University, Oxford, UK; mwaite{at}

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Commentary on: Ponmani C, Nijman RG, Roland D, Barrett M, Hulse T, Whittle V, Lyttle MD. Paediatric Emergency Research United Kingdom and Ireland (PERUKI). Children presenting with diabetes and diabetic ketoacidosis to emergency departments during the COVID-19 pandemic in the UK and Ireland: an international retrospective observational study. Arch Dis Child. 2023 Oct;108(10):799–807. doi: 10.1136/archdischild-2022-325280. Epub 2023 May 17.

Implications for practice and research

  • In the context of newly emerging SARS-CoV-2 variants, education on self-management of sick day rules for children with diabetes and their parents is imperative to avoid decompensating diabetic ketoacidosis (DKA).

  • Prospective research is needed to examine new-onset diabetes accompanied by a diagnosis of SARS-CoV-2.


There is a need for a better understanding of the association between new-onset diabetes mellitus and SARS-CoV-2 in children, including DKA in the newly diagnosed and DKA in …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.