Figure 2. Changes in Psychomotor and Mental Efficiency during DCCT/EDIC at Specific Levels of A) Mean DCCT/EDIC HbA1c, B) Mean DCCT/EDIC Systolic Blood Pressure, C) Severe Hypoglycemia (Cumulative), and D) HbA1c, Systolic Blood Pressure, and Severe Hypoglycemia in Aggregate.
The bars represent the model-based estimates of the mean changes in psychomotor and mental efficiency between cognitive testing at DCCT baseline and each follow-up assessment, expressed as changes in z-scores and adjusted for age and sex at DCCT baseline and years of education as a time-dependent covariate. At each study year, the mean changes in z-scores and the slope for the association between HbA1c (or systolic blood pressure) and changes in z-scores are presented. There was a significant interaction between time and HbA1c (p=0·0003) as well as between time and systolic blood pressure (p<0·0001). There was no significant interaction between time and a history of severe hypoglycemia (p=0·45).