Off to College With T1D in the COVID Era: How to Prepare

COMMENTARY

Off to College With T1D in the COVID Era: How to Prepare

Anne L. Peters, MD

Disclosures

September 04, 2020

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Off to College With T1D in the COVID Era: How to Prepare
Off to College With T1D in the COVID Era: How to Prepare
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This transcript has been edited for clarity.

Today I'm going to discuss the return to school this fall. There are two scenarios I want to talk about. The first is young adults with type 1 diabetes (T1D) who are leaving home and going off to college. They have their own set of risks and concerns. Second are parents who have T1D whose young kids are going back to school.

There's much concern about what is the right approach for people without diabetes, but it's especially important to talk about people who have diabetes or have someone in their family with diabetes.

People who have well-controlled diabetes (an A1c of around 7 or less) don't necessarily do worse if they develop COVID-19. But there are other risk factors that can be in the mix. Things that worsen outcomes include obesity, cardiovascular disease, hypertension, renal disease, and age. These are all comorbidities that increase risk.

If you have a young, healthy individual under the age of 50 with an A1c of 7 or less, and they don't have any other comorbidities, that person is probably not at higher risk of doing badly with COVID-19 than anybody else.

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