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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
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Insomnia and Mild Cognitive Impairment.

R C Hamdy1, A Kinser1, K Dickerson1

  • 1East Tennessee State University, Johnson City, TN, USA.

Gerontology & Geriatric Medicine
|June 15, 2018
PubMed
Summary

Insomnia in older adults, particularly those with mild cognitive impairment (MCI), is common. This case study focuses on nocturnal hypoglycemia as a cause of middle insomnia and reviews management strategies.

Keywords:
Alzheimer’s/dementiaanxietycaregiving and managementcognitionconfusional states

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Area of Science:

  • Gerontology
  • Sleep Medicine
  • Neurology

Background:

  • Insomnia is prevalent in the elderly, often exacerbated by mild cognitive impairment (MCI) and disrupted circadian rhythms.
  • Caregiver burden due to insomnia can lead to institutionalization.
  • Three types of insomnia exist: sleep-onset, sleep-maintenance, and early morning awakening.

Purpose of the Study:

  • To present a case study focusing on nocturnal hypoglycemia as a cause of middle insomnia.
  • To review other insomnia types and their management.
  • To discuss the importance of sleep architecture.

Main Methods:

  • Case study presentation.
  • Review of existing literature on insomnia types and management.
  • Discussion of sleep hygiene, supplements, OTC, and prescription treatments.
  • Brief review of sleep architecture.

Main Results:

  • Nocturnal hypoglycemia identified as a specific cause of middle insomnia.
  • Various management strategies for insomnia discussed, including pros and cons.
  • Emphasis on the integrity of sleep architecture and its stages.

Conclusions:

  • Nocturnal hypoglycemia is a critical, often overlooked, cause of middle insomnia in older adults.
  • Comprehensive management of insomnia requires addressing underlying causes and considering sleep architecture.
  • Effective insomnia management can reduce caregiver burden and improve quality of life.