Screening of Neurocognitive and Executive Functioning in Children, Adolescents, and Young Adults With Type 1 Diabetes

• DOI: 10.2337/ds16-0037
• Publication Date: 2017-01-25T20:06:25Z
• Authors: Rachel M. Wasserman; Barbara J. Anderson; David D. Schwartz
• Keywords: Neurocognitive; Executive summary

National and international treatment guidelines recommend regular psychological screening of children youth with type 1 diabetes. In this article, the authors argue that neurocognitive is another important yet neglected aspect care Mild dysfunction an underrecognized complication diabetes can have considerable effects on school performance, activities daily living, self-management. This article offers suggestions for management in pediatric patients various settings, as well recommendations future research.

Children, youth, young adults face many challenges complications a result their disease. One less well-recognized problems increased incidence mild to moderate dysfunction: acquired deficits psychomotor speed, mental efficiency, attention, visual-motor skills, memory, learning. (See related by Cato Hershey p. 197 issue.) general, these are relatively subtle, effect sizes reported small range (1). Thus, individuals who cognitive will scores standardized tests fall within average range, although functional impact still be substantial. Children likelihood prob-lems at (2) difficulties (3,4) place them risk poor glycemic control. Diabetes-related therefore has implications lives long-term outcomes Just psychosocial standard care, so too identifying developing or currently experiencing (5).

One way identify declines monitor through comprehensive neuropsychological evaluation (6). Although adopting strategy could help inform …