Cognitive impairment in type 2 diabetes
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Background: Cognition declines with age is a known fact. Some studies suggest a positive correlation between the declinations of cognition with Diabetes. Studies on dementia have contributed diabetes as one of the possible causative factor for its early occurrence. During the management of diabetes, examination of cognitive functions are overlooked as a routine practice. This study attempts to examine the cognitive functions in established diabetics who are on treatment and correlate the same with duration of diabetes. Materials & Methodology: This study was conducted on 100 previously diagnosed type 2 diabetic subjects including both male and female, who are on regular anti diabetic medication. They were categorised into groups based on the duration of diabetes ( <1year,1-4years, 5-10years,>10years). They were given the “Mini Mental State Examination “questionnaire also referred to as Folstein test. The results were tabulated and correlated with the duration of diabetes. Results: Out of 100 type 2 diabetic subjects, 25 patients had cognitive impairment. In less than 1 year category, only one person had mild cognitive impairment. In 1-5 years category,9 patients had mild cognitive impairment, while only 2 belonged to moderate category. In 5-10years category,1 patient had mild impairment, 6 had moderate impairment and 1 had severe impairment. In >10years category, out of 6 patients, 5 patients had severe cognitive impairment. Conclusion: This present study has established a positive correlation between the increased duration of diabetes and cognitive impairment. Although, every diabetic patient is treated meticulously to get a good glycemic control, the cognitive function examination is always overlooked. Hence this study suggests a routine examination of the cognitive status of every diabetic subjects so that along with good glycemic control, the quality of their life can also be improved by introducing cognitive therapies at the appropriate time.
Authors and Affiliations
Manickam K, Syed safina SS, Vaishali S
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