Evidence map›Paper›PMID 37930624›Full record

ArticleIndian journal of pediatrics2025

Cognitive Function in Early Onset Type 1 Diabetes in Children.

K Swaminathan, Pamali Mahasweta Nanda, Jaivinder Yadav, Prahbhjot Malhi, Rakesh Kumar, Akhilesh Sharma, Rajni Sharma, Devi Dayal

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Article in Indian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

K SwaminathanDepartment of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Pamali Mahasweta NandaDepartment of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Jaivinder YadavDepartment of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India. jai1984yadav@gmail.com.ORCID 0000-0002-7026-3469
Prahbhjot MalhiDepartment of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Rakesh KumarDepartment of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Akhilesh SharmaDepartment of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Rajni SharmaDepartment of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Devi DayalDepartment of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Funding

Postgraduate Institute of Medical Education and Research, Chandigarh Postgraduate Institute of Medical Education and Research, Chandigarh
6 · The paper itself

Abstract

objectivesTo assess cognitive function and factors affecting it in Indian children with early-onset type 1 diabetes (T1D) (less than 6 y).

methodsThis cross-sectional, single-centre study recruited children diagnosed with T1D before 6 y of age and having a disease duration of at least 2 y, as cases. Controls were age- and sex-matched apparently healthy children or siblings. Children with birth asphyxia, intellectual disability, syndromic children, or pre-existing psychiatric illness were excluded. Enrolled children underwent cognitive assessment using Malin's Intelligence Scale for Indian Children (MISIC), and scores in various subtests were compared between cases and controls.

resultsA total of 60 children were enrolled in each group. When compared to controls, cases had significantly lower scores on most subtests, verbal, performance and overall Intelligence Quotient (IQ- 100.62 ± 3.26 vs. 103.23 ± 1.22). HbA1c >9%, severe hypoglycemia and lesser duration since the last diabetic ketoacidosis (DKA) episode significantly correlated with lower neurocognitive scores.

conclusionsChildren with early onset T1D showed significant deficits in various cognitive domains and IQ. Poor glycemic control, higher glycemic variability and exposure to severe hypoglycemia are risk factors for poor cognitive outcomes in these children. Further longitudinal studies could potentially aid in a finer understanding of factors affecting cognitive functioning in T1D children in developing countries.

Indexed as

CognitionDiabetes Mellitus, Type 1Age of OnsetCase-Control StudiesChildChild, PreschoolCross-Sectional StudiesDiabetic KetoacidosisFemaleGlycated HemoglobinHumansHypoglycemiaIndiaIntelligenceIntelligence TestsMaleGlycated HemoglobinCognitionDKAEarly onset diabetesHypoglycemiaIQType 1 diabetes

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.