Evaluation of Cognitive Functions and Daily Living Activities of Elderly Diabetics under Intensive Insulin Therapy

Abstract

Objective: Our aim was to evaluate the cognitive functions and daily living activities of the elderly diabetics who were under a basal-bolus intensive insulin therapy.Methods: Our study included 108 patients admitted to our outpatient clinic who are over 65 years of age and under an intensive insulin therapy. Minimental state examination (MMSE), activities of daily living (ADL), and instrumental activities of daily living (IADL) scales were used to evaluate cognitive functions and daily living activities. Fasting glucose and HbA1c levels were measured and history of hypoglycemia was recorded.Results: MMSE revealed 24 patients (22.2%) with impaired cognitive functions. Patients with impaired cognitive functions were significantly prone to more hypoglycemic episodes and lower functionality. Conclusion:Due to the complexity of intensive insulin therapy regimen, cognitive functions and functionality of the elderly diabetics should be carefully examined before deciding on intensive insulin therapy. (JAREM 2015; 5: 47-51)