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Older Adult Mental Impairment Linked to Poor Glucose Control

A group of investigators evaluated 60 patients >70 years of age in order to identify barriers to effective diabetes management. The participants were an average of 79 years of age and had diabetes for an average of 14 years. Overall, the group was found to have a high incidence of undiagnosed cognitive dysfunction, depression, and functional disabilities.

Cognitive dysfunction in particular was associated with poor glycemic control, as measured by glycated hemoglobin (A1C). Providers should screen older patients for cognitive impairment that could affect the management of their illness.

Munshi M, Grande L, Hayes M, et al.: Cognitive dysfunction is associated with poor diabetes control in older adults. Diabetes Care 29:1794–1799, 2006[Abstract/Free Full Text] .

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