Table 1

Pediatric diabetes during COVID-19

NeedsRecommendations
• Prospectively collected, longitudinal, retrievable public data on new-onset incidence trends, new-onset patient characteristics, and acute and long-term disease outcomes• Collect data for children with type 1 AND type 2 diabetes following established guidelines for epidemiologic data collections and support rigorous peer review (30)
• Examine effects of obesity and prediabetes
• Improve data collection for racial and ethnic minority populations
• Thoughtful interpretations of emerging data reports, including thorough peer review• Contextualize data to inform childcare decisions, including return to school and extracurricular activities
• Provide a clear and unified voice for pediatric-specific diabetes concerns at the level of national and international organizations and public health messaging
• Multidisciplinary care and support including mental health and social work access• Offer guidelines on care delivery using remote technology, including optimal clinic flow and staffing models
• Provide durable insurance coverage
• Infrastructure access, including needed hardware, internet services, and data platforms for school and telemedicine• Support virtual school education platforms and alternate ways to provide students with medical and mental health care and nutrition services
• Advocate for telemedicine platforms that are accessible by all, including communities of lower socioeconomic status
• Robust pediatric diabetes research funding• Support diabetes federal funding (including Special Diabetes Program durable renewal)
• Galvanize the volunteer diabetes advocacy and fundraising community