Corona-pandemic: schools open for children with Diabetes is not possible to generally exclude
In mid-March, the schools had been closed in Germany, in order to delay the further spread of the Coronavirus. Officially, as a rule, the school is operating from the 4. May start again, but first, a gradual and limited. Children and young people, who are suffering from Diabetes, are excluded to the various facilities from the lessons. Experts criticize this scheme.
More than ten million students were not able to press in the last few weeks due to the Corona pandemic, the school Bank. Now the school is in operation in Germany carefully. Nationwide there are, however, individual facilities, children and youth, exclude with Diabetes of which, for the time being. There is now criticism.
People with Diabetes belong to risk group
According to a communication from the German Diabetes society (DDG) refers to the facilities available on the note of the Robert Koch Institute (RKI), that people with Diabetes are in the risk group.
The RKI on its website, the COVID-19-progression of the disease, writes disorders: “various reason, such as cardiovascular diseases, Diabetes, diseases of the respiratory system, the liver and the kidney and cancer diseases seem to increase, regardless of age, the risk for a severe course of the disease.”
The DDG indicates in a statement to the fact that, according to the latest international research in children and adolescents with type 1 not Diabetes is more common or severe in COVID-19 fall ill than other children.
In the opinion it is said: “children and young people with Diabetes according to current knowledge, there is no higher risk with a stable Metabolic control, to have a severe course of the disease.”
No indication of an increased risk for severe course of the disease
The RKI reports that around 9,000 children and young people evidence are affected in Germany on the Coronavirus (as of: 27.04.2020).
Because in this age the disease is usually mild, it is estimated the number of unreported cases is much higher. Therefore, only a few data about the history of a SARS-CoV-2 infection in the case of Minors are available to date.
From a Chinese study, as well as oral Reports in Italian internistic inside and diabetologists but there is no indication that children and young people with Diabetes mellitus are at increased risk for a severe course of viral infection.
“From children diabeto-logical point of view, so it speaks to nothing, however, that in the course of the currently scheduled school also in Germany, around 30 000 children and young people openings to visit with Diabetes in the school” accounted for DDG-Vice President Professor Dr. med. Andreas New from Tübingen to the current medical knowledge.
The expert refers to the opinion of the AG pediatric diabetology (AGPD), which has worn for this purpose, the most up to date information.
As the DDG stated, this is based on a data collection of the International Society for Pediatric and Adolescent Diabetes (ISPAD) from the could be no serious relationship between COVID-19 and children with Diabetes, derived.
Affected families from falling unnecessarily in distress
Nevertheless, some länder, such as Thuringia, have decided to have children with Diabetes, initially a lump sum from the classroom, to exclude, and refer to the General information of the RKI, according to Diabetes patients and patients to the risk group.
“So far, we know of no child with type 1 Diabetes, the would come by COVID-19 to damage. Our findings on the course of Infection in children and adolescents with type 1 Diabetes suggest that they are more vulnerable than their peers and therefore, in the normal everyday life can be a part of“, says private lecturer Dr. med. Thomas chapels, spokesman for the AG “pediatric diabetology” of the DDG.
The expert criticized that the families affected by bureaucratic decisions in individual regions is now unnecessary in distress, to worry, to continue the care.
From an organizational and psycho-social point of view, it was in his view questionable, these children are without objective medical reasons and only because of your Diabetes classes to keep. “This would amount to discrimination”, thus, children-diabetologist New.
Recommended protective measures to comply with
Of course, the recommended protective measures such as hand hygiene, should be a mouth-nose protection and distance regulations are complied with.
If a COVID-19-is present condition, apply the same recommendations for the Management of Diabetes as with other viral respiratory infections the way.
“As is to be expected in the course of the infection, an increased need for insulin is, should Ill check more frequently measure their blood glucose or Sensor glucose values,” advises chapels, children’s diabetologist from Leipzig.
Elevated blood glucose values, the insulin dose needs to be adjusted accordingly. In the case of long-lasting bad blood sugar values, the patient should contact your Doctor or your treating doctor. (ad)