Matthew N. Cooper|Kaitrin A R McNamara|Nicholas de Klerk|Elizabeth A. Davis|Tim Jones
School performance in children with type 1 diabetes: a contemporary population-based study
Telethon Kids Institute|University of Western Australia|Princess Margaret Hospital for Children|Telethon Kids Institute|University of Western Australia|Princess Margaret Hospital for Children|Telethon Kids Institute|University of Western Australia|Princess Margaret Hospital for Children|Telethon Kids Institute|University of Western Australia|Princess Margaret Hospital for Children|Telethon Kids Institute|University of Western Australia|Princess Margaret Hospital for Children
aims aim examine school performance children type 1 diabetes comparison peers exploring changes time impact clinical factors school performance methods study included data 666 children type 1 diabetes western australia childrens diabetes database wacdd populationbased registry 3260 school school year matched nondiabetic children records national assessment program literacy numeracy naplan 20082011 examines four educational outcome domains administered annually years 3 5 7 9 children australia sourced groups clinical data obtained children diabetes wacdd results significant difference observed type 1 diabetes peers across tested domains school years analysed decline time observed decline following diagnosis observed type 1 diabetes associated decreased school attendance 3 fewer days attended per year poorer glycaemic control higher haemoglobin a1c hba1c associated lower test score 0203 sd per 1 109 mmolmol increase hba1c poorer attendance 18 decrease per 1 109 mmolmol increase hba1c association observed history severe hypoglycaemia diabetic ketoacidosis age onset school test scores conclusion results suggest type 1 diabetes associated significant decrement school performance assessed naplan association poorer glycaemic control poorer school performance serves evidence clinicians focus improving glycaemic control