Research Article

The Effect of COVID-19 on Type 1 Diabetes Occurrence among Children and Adolescents: A Multicenter Prospective Observational Cohort Study in Israel

Table 2

Characteristics of children with type 1 diabetes according to diabetic ketoacidosis (DKA) status at diagnosis.

Parameter categoryParameterDKA (n = 19)Non-DKA (n = 32)p-value

Demographic and anthropometric parametersAge (years)9.7 (6.7–12.7)11.5 (9.0–14.2)0.2
Female gender9 (47%)14 (44%)0.8
Weight SDS0.16 (−0.53 ± 0.81)−0.38 (−0.9 ± 0.31)0.09
Height SDS0.38 (+0.05 ± 0.78)1.42 (1.27 ± 1.6)0.2
BMI SDS0.44 (−1.2 ± 1.07)−0.02 (−1.96 ± 0.46)0.2
Puberty8 (42%)12 (38%)0.2

Clinical parametersPolyuria19 (100%)29 (91%)0.18
Polydipsia19 (100%)27 (84%)0.068
Gastrointestinal symptoms10 (53%)9 (28%)0.07
Weight loss16 (84%)16 (50%)0.016
Weakness17 (89%)17 (53%)0.009

Laboratory parameterspH7.14 (7.09–7.21)7.36 (7.32–7.39)<0.001
HCO3 (mmol/l)7.9 (6.6–10.0)21 (18–24)<0.001
Glucose (mg/dL)589 (445–678)455 (318–555)0.02
Glucose (mmol/l)32.7 (24.7–37.7)25.3 (17.7–30.8)0.02
HbA1c (%)11.8 (10.9–12.7)11.8 (9.7–14.9)0.8
HbA1c (mmol/mol)105 (96–115)105 (83–139)0.8
C-peptide (μg/l)0.14 (0.23–0.27)0.27 (0.42–0.57)0.036
Anti-GAD titer (IU/ml)51.6 (6.2–512)44 (4.9–176)0.4
Anti-IA2 titer (IU/ml)17 (7.4–351)7.1 (2.8–218)0.065
Anti-insulin titer0.38 (0.30–0.49)0.37 (0.3–0.8)0.9
Positive anti-S antibodies8 (42%)23 (72%)0.035
Positive anti-S antibodies, adjusted to vaccination status15/26 (58%)8/20 (40%)0.7
Positive anti-N antibodies7 (37%)14 (44%)0.2
Positive neutralizing antibodies9 (47%)22 (69%)0.1
Neutralizing antibody value, unadjusted to vaccination status96 (64–512)256 (64–2,048)0.8
Neutralizing antibody value, adjusted to vaccination status512 (64–448)256 (128–1,024)0.4

Categorical variables are introduced as n (%) and continuous variables as medians (Q1, Q3). Neutralizing antibodies are displayed as geometric mean.