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Cognitive Function and Self-Management Behaviors in Older Adults With Type 2 Diabetes.
Nursing Research
|September 13, 2022
Summary
Executive function decline in older adults with type 2 diabetes is linked to less frequent physician contact. Monitoring self-management behaviors may signal cognitive changes.
Area of Science:
- Gerontology
- Neuroscience
- Endocrinology
Background:
- Type 2 diabetes (T2D) is linked to cognitive impairment, potentially affecting self-management.
- Executive function is crucial for daily self-management in T2D patients.
- The impact of cognitive function on self-management in older adults with T2D is not well understood.
Purpose of the Study:
- To investigate how executive function and subjective cognitive function affect daily self-management behaviors in older adults with T2D.
Main Methods:
- Cross-sectional study of 84 adults (≥60 years) with T2D.
- Assessed cognitive function via telephone tests and self-management via online surveys.
- Used correlation and regression analyses, controlling for covariates.
Main Results:
- Reduced executive function correlated with poorer adherence to physician contact.
- Subjective cognitive function showed no association with self-management behaviors.
- Most participants were female, White, and had normal cognitive function.
Conclusions:
- Decreased executive function is associated with reduced physician contact adherence in older adults with T2D.
- Poor adherence to physician contact may indicate declining cognitive function.
- Close monitoring of self-management behaviors and cognitive assessments are recommended for older adults with T2D.
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