Impact of Cognitive Impairment on Adherence to Treatment and Self-Care in Patients with Type 2 Diabetes Mellitus

Świątoniowska-Lonc, Natalia; Polański, Jacek; Tański, Wojciech; Jankowska‐Polańska, Beata

doi:10.2147/dmso.s284468

Cited by 24 publications

(12 citation statements)

References 40 publications

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“…These findings are in agreement with other investigations [ 1 ]. In their study that involved 169 patients with type 2 diabetes whose cognitive status was assessed using Mini-Mental State Examination (MMSE), Świątoniowska-Lonc et al [ 9 ] found that 56.8% of patients had cognitive impairment (MMSE < 27).…”

Section: Discussionmentioning

confidence: 99%

“…Tasks related to diabetes self-management involve multiple skills, such as memory, attention, planning, and calculation [ 33 ], and have an impact on blood glucose control [ 34 ]. In a Polish study that analyzed the impact of cognitive impairment on self-monitoring of blood glucose, they found that the self-monitoring in patients with cognitive impairment is less performant than in other patients [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, managing the diabetic condition requires cognitive functions, such as attention, memory, planning, and calculating. Impaired cognitive function may threaten the patient's ability to perform self-monitoring of glucose and thus the ability to self-manage their diseases [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated With Mild Cognitive Impairment in Patients With Type 2 Diabetes: A Cohort Study

Tlemçani¹,

Elamari²,

Motaib³

et al. 2022

Cureus

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BackgroundCognitive dysfunction is increasingly recognized as an important comorbidity of diabetes mellitus (DM). ObjectiveThe purpose of this study was to determine the prevalence and predictors of cognitive decline in individuals with type 2 diabetes mellitus (T2DM). MethodsThis cohort study included patients with type 2 diabetes mellitus aged between 40 and 75 years and with a duration of the evolution of diabetes that is greater than five years admitted in endocrinology consultation of the Sheikh Khalifa ibn Zaid Hospital in Casablanca, Morocco. For each patient, we collected clinical characteristics and biological assessments. All subjects provided screening test results as defined by the Mini-Mental State Examination (MMSE). ResultsWe included a total of 100 patients with diabetes between May and September 2021. The median age of the patients was 65 years (interquartile range (IQR): 59-70 years), 65% were males, and the median duration of diabetes was 15 years (IQR: 9-20 years). The most common cardiovascular risk factors (CVRFs) were hypertension (72.7%) and dyslipidemia (53%). The most common complications of diabetes were peripheral neuropathy (50%), diabetic retinopathy (DR) (39%), peripheral artery disease (33%), and coronary artery disease (27%). Cognitive impairment was present in 47.5% of our patients. For the multivariate analysis, we found that the decrease in the MMSE score is associated with the increase in age (p-value = 0.004) and the occurrence of diabetic retinopathy (p-value < 0.001), dyslipidemia (p-value = 0.006), and elevated creatinine (p-value < 0.001). ConclusionIt is necessary to consider the cognitive decline of patients with diabetes as one of the most important complications of this disease because of its impact on the evolution and compliance of these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Factors Associated With Mild Cognitive Impairment in Patients With Type 2 Diabetes: A Cohort Study

Tlemçani¹,

Elamari²,

Motaib³

et al. 2022

Cureus

View full text Add to dashboard Cite

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“…Apart from CAN and DPN, the impact of GV on cognitive impairment such as Alzheimer’s disease and vascular dementia has also been addressed 75 . Strikingly, cognitive impairment is twice more frequent in elderly with T2DM.…”

Section: Gv and Cognitive Impairmentmentioning

confidence: 99%

Perspectives of glycemic variability in diabetic neuropathy: a comprehensive review

et al. 2021

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Diabetic neuropathy is one of the most prevalent chronic complications of diabetes, and up to half of diabetic patients will develop diabetic neuropathy during their disease course. Notably, emerging evidence suggests that glycemic variability is associated with the pathogenesis of diabetic complications and has emerged as a possible independent risk factor for diabetic neuropathy. In this review, we describe the commonly used metrics for evaluating glycemic variability in clinical practice and summarize the role and related mechanisms of glycemic variability in diabetic neuropathy, including cardiovascular autonomic neuropathy, diabetic peripheral neuropathy and cognitive impairment. In addition, we also address the potential pharmacological and non-pharmacological treatment methods for diabetic neuropathy, aiming to provide ideas for the treatment of diabetic neuropathy.

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“…Effective diabetes self-care can be achieved using the following actions: lifestyle modification, diet control, regular physical exercise, smoking cessation, weight reduction, self-blood glucose monitoring, medication adherence and foot care are effective treatments for improving diabetes consequences; so that self-care behavior adherence and patient education are the first steps in helping patients to better care and manage their disease [ 3 – 7 ]. About 95% of diabetes treatment depends on self-care behaviors regardless of the type of diabetes and similarly the patients and their families accomplish the self-care, hence diabetes patients must correct their behavior like adherence to prescribed medication, diet control, and changes to physical activity especially for older patients to prevent diabetes complications, which may be potentially lethal [ 8 , 9 ]. Therefore, this study was aimed to identify personal perceptions of diabetes patients towards self-care behaviors.…”

Section: Introductionmentioning

confidence: 99%

Assessment of self-care practice amongst patients with type II diabetes attending Adama Hospital Medical College, Ethiopia

Gemeda

Woldemariam

2022

BMC Endocr Disord

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Introduction There is almost no published data on the assessment of self-management practice among adult type II diabetes patients in Ethiopia. Hence, we aim to assess the level of self-management practice for people with type II diabetes patients attending Adama Hospital Medical College, Ethiopia. Method The study was conducted from April 1 to August 30, 2021 in type II diabetes mellitus patients at Adama Hospital Medical College. The survey was performed using the diabetes mellitus self-Management questionnaire, which consists of four domains Physical activity, Physician contact, Medication adherence, glucose management and dietary management of the patients. The data was analyzed using Statistical Package for Social Science (SPSS) version 20.0. Descriptive statistics was performed. Fisher's Exact Test was used to determine the presence of association between adherence to self-care behavior and other variables. P-value less than 0.05 determines statistical significance. Result Majority (63.4%) of respondents do not perform self-monitoring of blood glucose (SMBG). Out of a total of 93 participants, 48 (51.6%) respondents adhered to insulin therapy. Sixty-two (66.7%) adhered to recommended diet management practice, 57 (61.3%) did not adhere to physical activity recommendations and 59 (63.5%) participants adhered to overall self-care practice (DMSQ). Conclusion Although the importance of self-care practices in the management of diabetes were recognized to be useful and effective for achieving glycemic control and preventing serious diabetes complications, our study found that most patients had not adhered to self-care practice especially in terms of SMBG and physical activity. Overall (DSMQ) adherence to self-care practice was optimal amongst type II diabetes patients in AHMC Chronic care unit.

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Impact of Cognitive Impairment on Adherence to Treatment and Self-Care in Patients with Type 2 Diabetes Mellitus

Cited by 24 publications

References 40 publications

Factors Associated With Mild Cognitive Impairment in Patients With Type 2 Diabetes: A Cohort Study

Factors Associated With Mild Cognitive Impairment in Patients With Type 2 Diabetes: A Cohort Study

Perspectives of glycemic variability in diabetic neuropathy: a comprehensive review

Assessment of self-care practice amongst patients with type II diabetes attending Adama Hospital Medical College, Ethiopia

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