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首页> 外文期刊>International Journal of Environmental Research and Public Health >Evaluating the Association between Diabetes, Cognitive Decline and Dementia
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Evaluating the Association between Diabetes, Cognitive Decline and Dementia

机译:评估糖尿病,认知能力下降和痴呆之间的关联

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The aim of this article is to review the association between diabetes mellitus, cognitive decline and dementia, including the effects of cognitive decline and dementia on self management of diabetes. This is a literature review of primary research articles. A number of contemporary research articles that met the inclusion criteria were selected for this review paper. These articles were selected using a number of search strategies and electronic databases, such as EBSCOhost Research and SwetsWise databases. The duration of diabetes, glycated haemoglobin levels and glycaemic fluctuations were associated with cognitive decline and dementia. Similarly, hypoglycaemia was significantly related to increased risk of developing cognitive decline and dementia. Furthermore, cognitive decline and dementia were associated with poorer diabetes management. There is evidence of the association between diabetes, cognitive decline and dementia including the shared pathogenesis between diabetes and Alzheimer’s disease. In addition, the self management of diabetes is affected by dementia and cognitive decline. It could be suggested that the association between diabetes and dementia is bidirectional with the potential to proceed to a vicious cycle. Further studies are needed in order to fully establish the relationship between diabetes, cognitive decline and dementia. Patients who have diabetes and dementia could benefit from structured education strategies, which should involve empowerment programmes and lifestyle changes. The detection of cognitive decline should highlight the need for education strategies.
机译:本文的目的是回顾糖尿病,认知能力下降和痴呆之间的关联,包括认知能力下降和痴呆对糖尿病自我管理的影响。这是对主要研究文章的文献综述。这篇综述选择了许多符合纳入标准的当代研究文章。这些文章是使用多种搜索策略和电子数据库(例如EBSCOhost Research和SwetsWise数据库)选择的。糖尿病的持续时间,糖化血红蛋白水平和血糖波动与认知能力下降和痴呆有关。同样,低血糖症与发生认知功能减退和痴呆的风险增加显着相关。此外,认知能力下降和痴呆与较差的糖尿病管理有关。有证据表明,糖尿病,认知能力下降和痴呆症之间存在关联,包括糖尿病和阿尔茨海默氏病的共同发病机制。此外,糖尿病的自我管理还受到痴呆和认知能力下降的影响。可以认为,糖尿病和痴呆之间的关联是双向的,可能会进入恶性循环。为了完全建立糖尿病,认知能力下降和痴呆之间的关系,还需要进一步的研究。患有糖尿病和痴呆症的患者可以受益于结构化的教育策略,该策略应涉及增强能力计划和生活方式的改变。认知能力下降的发现应强调对教育策略的需求。

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