Persistently increased frequency of diabetic ketoacidosis in new-onset type 1 diabetes in Polish children: nationwide analysis 2019–2022

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The study analyzed 6543 cases of new-onset type 1 diabetes in Polish children from 2019 to 2022.
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Overall, 54.5% of children presented with diabetic ketoacidosis (DKA), with an increase during the pandemic.
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DKA frequency rose from 47.9% in 2019 to 58.6% in 2020, then decreased to 54.0% in 2022.
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During the pandemic, children were more likely to present with moderate or severe DKA compared to other periods.
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The additional impact of COVID-19 was a 9.4 percentage-point increase in DKA incidence among newly diagnosed children.

Frontiers In Endocrinology

by Arkadiusz Michalak, Barbara Pernak, Jędrzej Chrzanowski, Iwona Pietrzak, Iwona Beń-Skowronek, Artur Bossowski, Agata Chobot, Maria Bednarska, Katarzyna Dżygało, Wojciech Fendler, Barbara Głowińska-Olszewska, Martyna Górnicka de Almeida, Anita Horodnicka-Józwa, Katarzyna Jakubek-Kipa, Przemysława Jarosz-Chobot, Anna Kącka, Katarzyna Marcinkiewicz, Artur Mazur, Małgorzata Myśliwiec, Joanna Nazim, Barbara Wasyl-Nawrot, Elżbieta Niechciał, Anna Noczyńska, Ewa Rusak, Sebastian Seget, Monika Seifert, Elżbieta Skotarczyk-Kowalska, Anna Skowronek, Lidia Groele, Paulina Wais, Mieczysław Walczak, Anna Wołoszyn-Durkiewicz, Marta Wysocka-Mincewicz, Agnieszka Zubkiewicz-Kucharska, Agnieszka Szadkowska
June 29, 2026

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