WE compared auditory event-related potentials (ERPs) and neuropsycholo
gical test scores in nine patients with non-insulin-dependent diabetes
mellitus (NIDDM) and in nine control subjects. The measures of automa
tic stimulus processing, habituation of auditory N100 and mismatch neg
ativity (MMN) were impaired in patients. No differences were observed
in the N2b and P3 components, which presumably reflect conscious cogni
tive analysis of the stimuli. A trend towards impaired performance in
the Digit Span backward was found in diabetic subjects, but in the tes
ts of secondary or long-term memory the groups were comparable. Patien
ts with NIDDM may have defects in arousal and in the automatic ability
to redirect attention, which can affect their cognitive performance.