However, because of our study design, we were unable to control these event rates for confounding effects of frequent phlebotomies (especially in younger patients), variations in clinical judgment to transfuse, introduction of adjuvant medications, and most importantly, worsening MIS-C (potentially leading to inflammation-associated microangiopathy).22 Nevertheless, it is worth noting that hyperglycemia was observed in 18.6% of patients, but insulin requirement was infrequent (1.8%). Here, INS is linked to Hyperglycemia.