# Age at type 1 diabetes onset does not influence attained brain volume

## TL;DR

This study found no evidence that the age at which type 1 diabetes begins affects brain volume in middle-aged individuals.

## Contribution

The study provides new evidence that age at type 1 diabetes onset does not significantly influence brain volume.

## Key findings

- No association was found between age at diabetes onset and intracranial volume.
- Age at diabetes onset showed no significant correlation with cerebral gray or white matter volumes.

## Abstract

Type 1 diabetes is suspected to hamper brain growth, implying that people with earlier diabetes onset would, on average, achieve lower maximal brain volume. We set out to test this hypothesis.

Examining brain MRI scans of middle-aged people with type 1 diabetes, we related age at diabetes onset to intracranial volume in 180 participants, as well as to cerebral gray and white matter volumes in a subset of 113 (63%) participants, using fractional polynomial regression models. Of the participants, 118 (67%) had been diagnosed with diabetes before 18 years of age.

Of our participants, 54% were women, the median age 40.0 (IQR 33.2–45.0) years and the range of age at diabetes onset was 1.2–39.0 years. We found no association between age at diabetes onset and intracranial volume (p = 0.85), cerebral white (p = 0.10), or gray matter volumes (p = 0.12). Further, correlations between age at diabetes onset and the measured brain volumes were poor in analyses stratified for sex (all correlation coefficients ρ ≤ 0.16).

We found no association between age at diabetes onset and attained intracranial volume or gray or white matter volumes, indicating that type 1 diabetes may not have a clinically significant influence on brain growth.

The online version contains supplementary material available at 10.1186/s12902-025-01868-6.