Study Find No Difference in Standardized Test Scores in Children With/Without Diabetes Interview with:

Niels Skipper PhD Associate Professor, Department of Economics and Business Economics Aarhus University

Dr. Skipper

Niels Skipper PhD
Associate Professor, Department of Economics and Business Economics
Aarhus University What is the background for this study? What are the main findings?

Response: It is unclear if there is an association between type 1 diabetes and school performance in children. Some studies have found type 1 diabetes to be associated with worse performance, while others have found no differences. However, most of the existing literature are based on smaller, non-random samples of children with diabetes. In this study we used data on all public school children in the country of Denmark, involving more than 600,000 schoolchildren where approximately 2,000 had a confirmed diagnosis of type 1 diabetes. The children were tested in math and reading using a nationally standardized testing procedure, and we found no difference in the obtain test scores between children with diabetes compared to children without diabetes. What should readers take away from your report?

Response: Overall, I think it is a positive message that comes out of the study. Living with type 1 diabetes introduces a lot of challenges to those who are affected, but our study indicates that impaired school performance is not one of them. It is of course still very important to maintain good metabolic control. It is also unclear if your results would apply to other countries. What recommendations do you have for future research as a result of this work?

Response: The children in our study are relatively young (grades 2 to 8). It would be interesting to follow the performance if these children later in the educational system, and also into the labor market. The average diabetes duration in our study is only 4.5 years. Maybe differences in performance will show up in higher education.


Skipper N, Gaulke A, Sildorf SM, Eriksen TM, Nielsen NF, Svensson J. Association of Type 1 Diabetes With Standardized Test Scores of Danish Schoolchildren. JAMA. 2019;321(5):484–492. doi:10.1001/jama.2018.21819

Feb 6, 2019 @ 4:48 pm

The information on is provided for educational purposes only, and is in no way intended to diagnose, cure, or treat any medical or other condition. Always seek the advice of your physician or other qualified health and ask your doctor any questions you may have regarding a medical condition. In addition to all other limitations and disclaimers in this agreement, service provider and its third party providers disclaim any liability or loss in connection with the content provided on this website.


Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.