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Strategies for Person-Centered Comprehensive Diabetes Management in Older Adults With Cognitive Impairment
Alicia M Hawkins1, Rozalina G McCoy2,3,4,5
1College of Computer, Mathematical, and Natural Sciences, University of Maryland, College Park, MD.
Abstract:
Diabetes is associated with increased risk of cognitive decline and is highly prevalent among older adults with cognitive impairment. To inform care decisions for managing type 2 diabetes in older adults with cognitive impairment, this review outlines a person-centered approach to glycemic management that aligns with the 4Ms framework for age-friendly care. The proposed tools integrate patient-specific factors, such as dementia progression, treatment burden, medication side effects, and hypoglycemia risk, to support people with diabetes and cognitive impairment, their care partners, and their clinicians as they engage in shared decision-making to cocreate a pharmacologic treatment plan that aligns with the individual's needs, goals, and capabilities.
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