A good blood sugar control during women's pregnancy with type 1 diabetes would influence the baby's school performance years later, according to a Denmark aquipo.
In general, the children of women with type 1 diabetes obtained almost the same qualifications as other children during primary school, but the academic performance "differed quite a lot" according to the way in which their mothers had controlled blood glucose beforeAnd during pregnancy.
In Diabetes Care, the public team that is still unknown if exposure to high blood sugar levels during pregnancy influenced child brain function directly or if there were family factors that could have determined maternal management of the disease and,,Also, having influenced the baby's cognitive development.
"Diabetes control before and during pregnancy is important for other reasons: it reduces the risk of congenital malformations, preeclampsia, premature birth, fetal macrosomia and blood glucosebaja in the newborn in the newborn," said Dr. Florence Brown, director of the centerof diabetes Joslin del Program of Pregnancy and Diabetes of the Bethisrael Diaconisa Medical Center, Boston, and did not participate in the study.
The team of Dr. Sine Knorr, from the Hospital of the University of Aarhus, reviewed the medical records paradeterminate the blood sugar levels before and during an element of a group of women with type 1 diabetes.
He used school records to monitor performance in the primary of the 707 children of that cohort to compare them with information of more than 60,000 children of the same age, Perosin Diabetic Mothers.
The children of women with good glucose control tended to obtain higher notes than the rest of the children, especially the children of women with good blood glucose control in the third quarter, and vice versa: AWorse control of maternal diabetes before and during pregnancy, lower children's performance in school with respect to the group of children without diabetic mothers.
The team also identified a relationship between the mother's educational level and blood glucose control.A greater formal education, better diabetes control.
The same happened between the education of the parents and the qualifications of their children at school, although even after considering it, the relationship between the control of glucose in pregnancy and the grades of the children was maintained.
Brown pointed out that the social, psychological and cognitive function of mothers, beyond the educational level he possesses, will positively influence the control of diabetes and the environment for the learning of their children.
"This is supported by the fact that women with the best control of diabetes in pregnancy had children with a better school performance than women without diabetes," he said."The authors of the study agree that this could be the explanation of their results."
For their part, the authors clarify that the results apply only to type 1 diabetes, which is the least common form of the disease, which usually appears in childhood and insulin applications are controlled.
"I ignore if there is any study of this type on women with gestational diabetes or type 2," said Dr. Jorgeh Mestman, director of the Mustabolic Diseases Center for University of Southern California, Los Angeles.
"So we cannot extrapolate these results to other forms of diabetes," he added.
He said that, in general, the study is provocative, with encouraging results, "but it would have to be replicated."
Source: Diabetes Care, online June 12, 2015.
