Abstract
Twenty-seven children with early onset ( 4 years) diabetes (LOD), and 30 sibling controls were compared in their performance on tests of intellectual functioning and school achievement. The results revealed that EOD subjects, primarily EOD girls, scored significantly (p<.05) lower on tests of visuo-spatial but not verbal ability. There were more EOD girls having difficulty at school and receiving special education (38.5%) than were children in the other groups (11.2%). Examination of the diabetic control factors showed that EOD had more hypoglycemic convulsions than LOD (p<.05) and that this was higher for girls than boys. HBA1 levels at the time of cognitive testing were also higher for females (11.7%) than males (10.5%, p<.05) and girls were more likely than boys to have had ketoacidosis after the onset of IDDM (32% vs 12%, p<.05). A regression analysis indicated that hypoglycemic convulsions before the age of three was a significant predictor of spatial task performance, stronger than parental IQ.
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