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[Long-term neuropsychological impact of type 1 diabetes in children]
1Service d'endocrinologie et diabétologie de l'enfant et de l'adolescent, hôpital des Enfants, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France. pascal.barat@chu-bordeaux.fr
Insights
Type 1 diabetes in children may affect mood and cognition. This review explores animal models, clinical studies, and imaging to understand its long-term neuropsychological impact on developing brains.
Area of Science:
- Neuroscience
- Endocrinology
- Developmental Psychology
Context:
- Increasing incidence of Type 1 diabetes in pediatric populations.
- Potential for long-term neuropsychological sequelae in affected children.
- Need for comprehensive understanding of diabetes impact on brain development.
Purpose:
- To review the contribution of animal models to understanding Type 1 diabetes pathophysiology.
- To summarize clinical findings on mood and cognitive performance in diabetic children.
- To discuss the role of neuroimaging in assessing brain development in this cohort.
Summary:
- Animal models provide insights into the physiopathological mechanisms of Type 1 diabetes.
- Clinical studies indicate a higher prevalence of mood disorders and potential cognitive decrements in diabetic children.
- Neuroimaging techniques offer valuable tools for evaluating brain development alterations.
Impact:
- Informs clinical practice regarding monitoring and intervention for neuropsychological issues in pediatric Type 1 diabetes.
- Highlights the importance of early detection and management of mood and cognitive changes.
- Guides future research directions in pediatric diabetes and neurodevelopment.
Abstract:
Type 1 diabetes, whose incidence is increasing in the youngest children, could have a long-term neuropsychological impact. Mood disorders are more frequent and some elements of cognitive performance, although within normal ranges, could decrease. In this review, we detail the contribution of animal models to current physiopathological knowledge. We summarize the main clinical studies regarding mood and cognitive performance in diabetic children. Finally, the advantages of imaging in this domain as related to brain development in children are discussed.
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