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Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降：一项对最新文献的meta分析
Abstract
Background: Type 1 diabetes (T1D) can have a significant impact on brain structure and function, which is referred to as T1D‐associated cognitive decline (T1DACD). Diabetes duration, early onset disease, and diabetes‐associated complications are all proposed as factors contributing to T1DACD. However, there have been no comparisons in T1DACD between children and adults with T1D. To obtain a better insight into the occurrence and effects of T1DACD in T1D, the aim of the present meta‐analysis was to investigate differences between children and adults and to analyse factors contributing T1DACD. Methods: Two electronic databases were consulted: PubMed and ISI W eb of K nowledge. Literature published up until the end of 2013 was included in the analysis. Effect sizes (C ohen's d), which are standardized differences between experimental and control groups, were calculated. Results: There was a small to modest decrease in cognitive performance in T1D patients compared with non‐diabetic controls. Children with T1D performed worse while testing for executive function, full intelligence quotient (IQ), and motor speed, whereas adults with T1D performed worse while testing the full, verbal and performance IQ, part of the executive function, memory, spatial memory, and motor speed. Episodes of severe hypoglycemia, chronic hyperglycemia, and age of onset can be significant factors influencing cognitive function in T1D. Conclusions: The findings in the literature suggest that T1DACD is more severe in adults than children, indicating that age and diabetes duration contribute to this T1DACD.
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“People with diabetes might also have both chronic and acute neurocognitive changes that include decline in cognitive function with detrimental effects on psychomotor speed, cognitive flexibility, attention, and visual perception.121,122”
From Type 1 diabetes (2018) · cites this paper as [122]
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Stantonyonge, N., Martínez‐Horta, S., Sampedro, F., Sánchez‐Saudinós, M. B., & Chico, A. I. (2021) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2021.108898 · Cited by 5
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“Chronic hyperglycemia might be attenuated by interventions such as exercise training (3), which has indeed been suggested as a way to improve HRV in type 1 diabetes (4; 5).”
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Самойлова, Ю. Г., Rotkank, M. A., Kudlay, D. A., Жукова, Н. Г., Матвеева, М. В., & Tolmachev, I. V. (2020) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro202012003119 · Cited by 6
Taurine Ameliorates High Glucose Induced Apoptosis in HT-22 Cells
Wu, P., Chen, X., Inam-u-llah, Shi, X., Zhang, M., Li, K., Suleman, R., Shahbaz, M., Alam, S., & Piao, F. (2019) · Advances in experimental medicine and biology · doi:10.1007/978-981-13-8023-5_75 · Cited by 5
Cognitive impairments in type 1 diabetes mellitus
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DIABETES MELLITUS Y SU ASOCIACIÓN CON DETERIORO COGNITIVO Y DEMENCIA
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Locus of Control and Cognition in Older Adults With Type 1 Diabetes
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Cognitive functions among school-going children and adolescents with type 1 diabetes mellitus
Meo, S. A., Alotaibi, M. S., Shaikh, N., & Khalifah, R. A. A. (2024) · Saudi Medical Journal · doi:10.15537/smj.2024.45.11.20240509 · Cited by 4
Is sex an influential factor in type‐1 diabetes neurofunctional development? A preliminary study
González‐Garrido, A. A., Gallardo‐Moreno, G. B., Romo‐Vázquez, R., Vélez-Pérez, H. A., Farias, A. F.-S., Mendizabal‐Ruiz, G., Santos, S. R., Ruiz‐Stovel, V. D., Gómez‐Velázquez, F. R., & Ramos‐Loyo, J. (2018) · Journal of Neuroscience Research · doi:10.1002/jnr.24268 · Cited by 4
“Furthermore, it has been observed that T1DM-associated cognitive decline is usually more severe in adults than in children since it has been primarily linked with several influencing factors, such as severe hypoglycemic episodes, as well as chronic hyperglycemia, age of onset, and the years of disease progression (Ton…”
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Sustained Attention Deficits in Adults With Juvenile-Onset Type 1 Diabetes Mellitus
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Cognitive decline affects diabetic women
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“Our observation that time of duration of DM 1 can also lead to cognitive decline is confirmed in other investigations [7].”
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Complications of type 1 diabetes melitus in children
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“Given the ample evidence of cognitive deficits associated with individuals with type 1 diabetes (Brands et al., 2005 ; Stupiansky et al., 2013; Tonoli et al., 2014), there is a gap in studying delay discounting, a crucial cognitive aspect in type 1 diabetes management.”
Meo, S. A., Alotaibi, M. S., Shaikh, N., & Alguwaihes, A. M. (2025) · Frontiers in Endocrinology · doi:10.3389/fendo.2025.1660384 · Cited by 2
Metadata
- Authors
- Tonoli, C., Heyman, E., Roelands, B., Pattyn, N., Buyse, L., Piacentini, M. F., Berthoin, S., & Meeusen, R.
- Affiliations
- Vrije Universiteit Brussel (BE)
- Université Lille Nord de France (FR)
- Corresponding author
- Meeusen, Romain
- ORCID
- Venue
- Journal of Diabetes
- Publisher
- Wiley
- Published
- 2014-09-10
- Volume
- 6
- Issue
- 6
- Pages
- 499-513
- ISSN
- 1753-0393 (ISSN-L)
- 1753-0407
- OpenAlex
- W1553269373
- Cited by
- 148
- References
- 98
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 12 · 2023: 12 · 2022: 13 · 2021: 9 · 2020: 14 · 2019: 15 · 2018: 21 · 2017: 15 · 2016: 15 · 2015: 5 · 2014: 2
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Diabetes (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- HAL (submittedVersion)
- LillOA (Université de Lille (University Of Lille)) (submittedVersion)
- Lirias (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Funders
- Vlaamse regering
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- type 1 diabetes, cognitive decline, executive function, intelligence quotient, motor speed, memory, severe hypoglycemia, chronic hyperglycemia, age of onset, diabetes duration, children versus adults, diabetes complications
- MeSH terms
- Adult, Age Factors, Child, Cognition, Cognition Disorders, Diabetes Mellitus, Type 1, Humans, Memory, Neuropsychological Tests, Severity of Illness Index
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