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Prospective memory and glycemic control in children with type 1 diabetes mellitus: a cross-sectional study

Jennifer N Osipoff1*, Denise Dixon2, Thomas A Wilson1 and Thomas Preston3

Author Affiliations

1 Division of Pediatric Endocrinology, Department of Pediatrics, Stony Brook Children’s Hospital, HSC Level 11 Room 080, Stony Brook, NY, 11794-8111, USA

2 Suffolk Health Psychology Services, PLLC, 646 Main Street, 2nd floor Suite 203, Port Jefferson, NY, 11777, USA

3 Department of Neuropsychology, Stony Brook Medicine, Health Sciences Center, Stony Brook, NY, 11794-8511, USA

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International Journal of Pediatric Endocrinology 2012, 2012:29  doi:10.1186/1687-9856-2012-29

Published: 3 December 2012

Abstract

Background

Prospective memory is that memory which is required to carry out intended actions and is therefore essential in carrying out the daily activities required in the self-management of type 1 diabetes mellitus (T1DM). This study aimed to identify the relationships between prospective memory and diabetic control in children with T1DM.

Method

94 children aged 6–18 years with T1DM completed an innovative prospective memory screen, PROMS, and a series of cognitive tests. Parents answered questionnaires about their children's diabetic histories and cognitive skills.

Results

No association between total PROMS score and glycemic control was found. Lower HbA1C was associated with higher (better) scores on the 20 minute event-based task on the PROMS. Parental concerns about working memory and metacognition in their children were mirrored by higher HbA1C.

Conclusions

This study suggests that there may be an association between glycemic control and prospective memory for event based tasks. Additional studies need to be done to determine reproducibility, causality, and if prospective memory based interventions can improve diabetic control.

Keywords:
Hemoglobin A1C; Pediatrics; Adolescents; Psychological testing; Diabetes mellitus; Memory