Cognitive function in 6- to 12-year-old offspring of women with Type 1 diabetes

R C Temple1, M Hardiman, M Pellegrini

  • 1Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK. rosemary.temple@nnuh.nhs.uk

Insights

Children of mothers with Type 1 diabetes show normal overall intelligence but impaired working memory. Specific risk factors for this cognitive difference in offspring remain unidentified in this study.

Area of Science:

  • Endocrinology
  • Neuroscience
  • Developmental Pediatrics

Background:

  • Maternal diabetes is a known risk factor for adverse offspring outcomes.
  • Previous research indicates potential links between maternal diabetes and later childhood obesity and congenital malformations.

Purpose of the Study:

  • To investigate the impact of maternal diabetes on the cognitive function of offspring.
  • To assess specific cognitive domains, including working memory, in children exposed to maternal diabetes during gestation.

Main Methods:

  • Studied 40 offspring aged 6-12 years born to mothers with Type 1 diabetes.
  • Assessed cognitive function using the Wechsler Intelligence Scale for Children, version 4 (WISC-IV).
  • Monitored maternal HbA(1c) levels throughout pregnancy.

Main Results:

  • Offspring exhibited normal overall full-scale IQ compared to UK normative data.
  • Significantly poorer working memory scores were observed in the offspring group compared to controls.
  • No correlation was found between working memory deficits and maternal HbA(1c), gestational age, birth weight ratio, or maternal diabetes duration.

Conclusions:

  • Offspring of women with Type 1 diabetes demonstrate intact general cognitive abilities but exhibit deficits in working memory.
  • Current findings do not identify specific risk factors contributing to the observed working memory impairment.
  • Larger studies are needed to further elucidate the mechanisms behind this memory defect and identify potential modifiable risk factors.
Abstract

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