It's clearly a very systemic disease affecting almost all organs and long term effects are impossible to tell right now (as opposed to the vaccine btw which cannot by definition create random effects some years later).
• The only <18's they can track is those who get tested
• You're more likely to get tested if in the hospital or showing severe symptoms
• <18's rarely have serious symptoms unless they have comorbidities (e.g. obesity)
• Therefore, most <18's with COVID that they can track were already unhealthy prior to the disease and already more likely to be diagnosed with diabetes or another chronic health condition.
That study doesn't show Covid increases risk of diabetes, it shows that children hospitalized with Covid are more likely to develop diabetes. Two very different things.
Edit: Fixed formatting and spelling from posting on mobile
This hasn't been shown at all, that study can only show that diabetes and Covid are correlated. There's no reason to think the causation doesn't run in the opposite direction.
> What are the implications for public health practice?
> The increased diabetes risk among persons aged <18 years following COVID-19 highlights the importance of COVID-19 prevention strategies in this age group, including vaccination for all eligible persons and chronic disease prevention and treatment.
> "Third, the present analyses lacked information on covariates that could have affected the association between COVID-19 and incident diabetes, including prediabetes, race/ethnicity, and obesity status."
It is also important to note that correlation is not causation and this study only observes a correlation in the data set which may very well disappear after controlling for the aforementioned factors.
[1] https://vinayprasadmdmph.substack.com/p/does-covid19-cause-d...