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Perceived Cognitive Function and Glycemic Variability: Baseline Results From a Cognitive Rehabilitation Intervention
Heather Cuevas1, Alexa K Stuifbergen1, Robin Hilsabeck2
1The University of Texas at Austin, Austin, Texas.
The Science of Diabetes Self-Management and Care
|July 24, 2024
Summary
High glucose variability in type 2 diabetes is linked to poorer perceived cognitive function and self-management. Addressing glucose control may improve cognitive health in diabetic patients.
Area of Science:
- Endocrinology
- Neuroscience
- Psychology
Background:
- Type 2 diabetes is associated with cognitive impairment.
- Glucose variability is a potential contributing factor to cognitive decline.
- Effective diabetes self-management is crucial for overall health.
Purpose of the Study:
- To investigate the relationship between glucose variability, diabetes self-management, and cognitive function.
- To analyze these associations in individuals with type 2 diabetes undergoing cognitive rehabilitation.
- To identify potential targets for interventions aimed at improving cognitive health in this population.
Main Methods:
- Analysis of baseline data from the Memory, Attention, and Problem-Solving Skills for Diabetes trial (n=95).
- Inclusion of perceived cognitive function scores (PROMIS Cognitive Function v2).
- Inclusion of continuous glucose monitoring data for glucose variability and diabetes self-care activities.
Main Results:
- Participants reported higher cognitive dysfunction than the general US population.
- Lower perceived cognitive function scores correlated with higher glucose variability.
- Improved perceived cognitive health was associated with better diabetes self-management.
- Glucose variability significantly predicted perceived cognitive function.
Conclusions:
- Perceived cognitive function is interconnected with diabetes self-management and glucose variability.
- Interventions targeting glucose variability may mitigate cognitive changes.
- Assessing perceived cognitive function can signal the need for enhanced diabetes support or further cognitive evaluation.

