<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Journal of Pediatric Perspectives</title>
			<title_fa></title_fa>
			<short_title>JPP; J Ped Perspect</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://jpp.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn></journal_id_issn>
			<journal_id_issn_online>3060-7205</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>2025</year>
				<month>7</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2025</year>
				<month>7</month>
				<day>1</day>
			</pubdate>
			<volume>13</volume>
			<number>7</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Diabetic Ketoacidosis Before, During, and After The COVID-19 Pandemic</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>original article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: Diabetic ketoacidosis (DKA) can be the initial sign of type 1 diabetes in children upon diagnosis. Some studies have examined the impact of the coronavirus disease 2019 (COVID-19) pandemic on the incidence and severity of DKA in children. The aim of this study was to investigate the status of diabetic ketoacidosis before and during COVID-19.Methods: This cross-sectional study was conducted at Akbar Pediatric Super-specialty Hospital in Mashhad and included one year before and one year after the start of the COVID-19 pandemic. All children under 18 years old admitted with a diagnosis of DKA based on the 2018 international society for pediatric and adolescent diabetes (ISPAD) protocol were included in the study. A checklist was completed for each patient, and the data was entered into SPSS software for analysis. A significance level of 0.05 was set for all inferential statistical tests.Results: A total of 310 patients were included in the study, of which 176 (56.8%) were male and the rest were female. In 2018, only 33% of new cases were diabetic, while in 2020, this rate had reached 57.2% (p=0.006). 18.4% of patients during the COVID-19 era had bicarbonate levels less than 5 upon admission, whereas during the pre-COVID era, only 5.3% of patients had bicarbonate levels less than 5. The rate of Intensive care unit (ICU) admission in 2020 was significantly higher than in 2018 (p=0.003), with 15.9% of patients being admitted to the ICU in 2020.Conclusion: Based on the results of our study, the rate of patients diagnosed with diabetes and diabetic ketoacidosis significantly increased during and after the COVID-19 pandemic.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Children, COVID-19, Diabetes, Diabetic Ketoacidosis</keyword>
				<start_page>19561</start_page>
				<end_page>19569</end_page>
				<web_url>https://jpp.mums.ac.ir/article_26463.html</web_url>
			<author_list><author>
				<first_name>Nosrat</first_name>
				<middle_name></middle_name>
				<last_name>Ghaemi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ghaemin@mums.ac.ir</email>
				<code>116182</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Kosar</first_name>
				<middle_name></middle_name>
				<last_name>Alidadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>alidadik@gmail.com</email>
				<code>116183</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sepideh</first_name>
				<middle_name></middle_name>
				<last_name>Bagheri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>bagheris@mums.ac.ir</email>
				<code>116184</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nafiseh</first_name>
				<middle_name></middle_name>
				<last_name>Pourbadakhshan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>pourbadakhshann@mums.ac.ir</email>
				<code>116185</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Majid</first_name>
				<middle_name></middle_name>
				<last_name>Khadem-Rezaiyan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>khademrm@mums.ac.ir</email>
				<code>116186</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>