痴呆
医学
2型糖尿病
认知
糖尿病
认知功能衰退
情感(语言学)
干预(咨询)
老年学
内科学
心理干预
疾病
血管性痴呆
精神科
内分泌学
心理学
沟通
作者
Geert Jan Biessels,Mark W. J. Strachan,Frank L.J. Visseren,L. Jaap Kappelle,Rachel A. Whitmer
标识
DOI:10.1016/s2213-8587(13)70088-3
摘要
Type 2 diabetes is associated with dementia, and also with more slight cognitive decrements. In this Review we discuss trajectories from normal cognition to dementia in people with type 2 diabetes, and explore opportunities for treatment. Slight diabetes-associated cognitive decrements and dementia affect different age groups and show a different evolution. These cognitive entities should therefore not be regarded as a continuum, although their effects might be additive. Vascular damage is a key underlying process in both entities. Glucose-mediated processes and other metabolic disturbances might also have a role. No treatment has been established, but management of vascular risk factors and optimisation of glycaemic control could have therapeutic benefit. We identify possible opportunities for intervention to improve cognitive outcomes in people with type 2 diabetes, and suggest how treatment can be tailored to individual risk profiles and comorbidities.
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