{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:32:16Z","timestamp":1791232336340,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T00:00:00Z","timestamp":1768694400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T00:00:00Z","timestamp":1768694400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>It is unclear how the incidence of each pediatric diabetes subtype changed during the COVID-19 pandemic. We assessed changes in the incidence of pediatric type 1 diabetes, pediatric type 2 diabetes, and prediabetes during the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed data from young people aged &lt;19 years without prior diabetes in a large integrated US health care system from March 2017 through February 2023 using interrupted time-series analyses to compare prepandemic and pandemic rates and trends in the incidence of type 1 diabetes, type 2 diabetes, and prediabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 288 574 pediatric patients, 242 were diagnosed with type 1 diabetes, 239 with type 2 diabetes, and 4438 with prediabetes. The incidence of type 1 diabetes did not change after pandemic onset in the interrupted time-series analysis. Although the incidence of type 2 diabetes and prediabetes changed with a single interruption analysis, an exploratory model of 2 interruptions revealed a better fit for each: for type 2 diabetes, the model showed a significant rise (128%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and subsequent decrease after the early pandemic period; for prediabetes, it revealed a 142% increase (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.005) with a rising trend (12% per month) early in the pandemic, followed by a 9% monthly downward trend.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Among this population, the COVID-19 pandemic did not affect the incidence of pediatric type 1 diabetes but was associated with significant increases in the incidence of type 2 diabetes and prediabetes, particularly early in the pandemic. Future work can build on these results to better understand how pandemic-related factors, including activity restrictions and COVID-19 disease, affected rates of pediatric type 2 diabetes and prediabetes and inform future public health practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549251403376","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T01:27:31Z","timestamp":1768786051000},"page":"588-595","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Trends in the Incidence of Pediatric Type 1 Diabetes, Type 2 Diabetes, and Prediabetes Before and During the COVID-19 Pandemic"],"prefix":"10.1177","volume":"141","author":[{"given":"Jeralyn","family":"Jacobs","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Mid-Atlantic Permanente Medical Group, Annapolis, MD, USA"},{"name":"Mid-Atlantic Permanente Research Institute, Mid-Atlantic Permanente Medical Group, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seohyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Mid-Atlantic Permanente Research Institute, Mid-Atlantic Permanente Medical Group, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Shin","family":"Sheu","sequence":"additional","affiliation":[{"name":"Mid-Atlantic Permanente Research Institute, Mid-Atlantic Permanente Medical Group, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Chesbrough","sequence":"additional","affiliation":[{"name":"Mid-Atlantic Permanente Research Institute, Mid-Atlantic Permanente Medical Group, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2383-9231","authenticated-orcid":false,"given":"R. 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