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Cognitive dysfunction in diabetes: how to implement emerging guidelines.

Geert J Biessels1, Rachel A Whitmer2

  • 1Department of Neurology, G03.232, UMC Utrecht Brain Center, University Medical Center Utrecht, PO Box 85500, 3508 GA, Utrecht, the Netherlands. g.j.biessels@umcutrecht.nl.

Diabetologia
|August 18, 2019
PubMed
Summary
This summary is machine-generated.

Diabetes is linked to cognitive dysfunction, affecting patient well-being and treatment. New guidelines recommend screening older adults with diabetes for cognitive impairment and tailoring glucose-lowering treatments.

Keywords:
Alzheimer’s diseaseCognitive dysfunctionDementiaGuidelinesImplementationMild cognitive impairmentReviewScreeningType 1 diabetesType 2 diabetes

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Area of Science:

  • Endocrinology
  • Neurology
  • Geriatrics

Background:

  • Cognitive dysfunction, including mild cognitive impairment and dementia, is a significant comorbidity in diabetes.
  • This condition impacts patient well-being, diabetes management, and is linked to treatment complications.

Purpose of the Study:

  • To review cognitive dysfunction in individuals with diabetes.
  • To describe clinical features and epidemiology of cognitive dysfunction stages.
  • To address implementation of emerging guidelines for screening and management.

Main Methods:

  • Literature review of cognitive dysfunction in diabetes.
  • Analysis of current guidelines for screening and management.
  • Discussion of practical steps for guideline implementation.

Main Results:

  • Cognitive dysfunction is a recognized complication of diabetes.
  • Guidelines now recommend screening for cognitive impairment in older adults with diabetes.
  • Tailored glucose-lowering treatment is advised for those with cognitive impairment.

Conclusions:

  • Implementing screening and tailored management is crucial for integrating care.
  • Early detection and appropriate management of cognitive dysfunction can improve outcomes for diabetic patients.
  • Further steps are needed to translate guidelines into daily clinical practice.