Type 1 diabetes

Cognitive skills in children and adolescents with type 1 diabetes: a scoping review and meta-analysis

BMJ Open Diabetes Res CarePublished Scoping review and meta-analysis

Pooled result · Wechsler Full Scale IQResult — go to the resultMean difference −3.49 95% CI −6.16 to −0.82

Authors' conclusion

T1D appears to be associated with slightly lower cognitive outcomes in some areas.

Study context

Population
Children and adolescents aged ≤19 years with T1D given cognitive assessments16 studies in meta-analysis
Participants
1,594 children
Comparison
T1D vs non-T1D peers
Outcome
Difference in Wechsler Full Scale IQ test scores between T1D and non-T1D groups
Methodological detailssystematic literature search of five databases, evidence map, random-effects meta-analysis
  • Systematic literature search of five databases
  • Evidence map
  • Random-effects meta-analysis

Pooled result

Wechsler Full Scale IQ

Mean difference

−3.49

95% CI −6.16 to −0.82

P = 0.010

T1Dvs non-T1D
mean difference −3.49 (95% CI −6.16 to −0.82); P = 0.010

As reported in the abstract

Further pooled results

Studies included

Studies identified
2464
Studies included
129

Cognitive categories: studies finding worse performance with T1D among those comparing with non-T1D peers

Academic performance (n=37)
7/22 worse T1D
Executive function (n=101)
31/48 worse T1D
Intelligence (n=73)
22/37 worse T1D
Language (n=30)
7/20 worse T1D
Memory and learning (n=84)
31/48 worse T1D
  • Mixed results

Large-scale studies (n≥1000): differences between groups

Academic performance: no significant difference
0/6 worse T1D
Language: no significant difference
0/3 worse T1D

Original publication

Cognitive skills in children and adolescents with type 1 diabetes: a scoping review and meta-analysis. BMJ Open Diabetes Res Care. Published 28 April 2026. doi:10.1136/bmjdrc-2025-005635

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