scholarly journals Creating Effective Self-Management for Older Adults with Type 2 Diabetes and Cognitive Impairment

2015 ◽  
Vol 04 (02) ◽  
pp. 33-41 ◽  
Author(s):  
Cameron J. Camp ◽  
Kathleen Fox ◽  
Michael J. Skrajner ◽  
Vincent Antenucci ◽  
Jessica Haberman
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Self Management

Effect of Advanced Glycation End Products on Cognition in Older Adults with Type 2 Diabetes: Results from a Pilot Clinical Trial

2021 ◽  
pp. 1-11
Author(s):  
Roni Lotan ◽  
Ithamar Ganmore ◽  
Abigail Livny ◽  
Nofar Itzhaki ◽  
Mark Waserman ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Pilot Trial ◽  
Advanced Glycation ◽  
Glycation End Products ◽  
End Products ◽  
Global Cognition

Background: Dietary advanced glycation end-products (AGEs) are linked to cognitive decline. However, clinical trials have not tested the effect of AGEs on cognition in older adults. Objective: The aim of the current pilot trial was to examine the feasibility of an intervention to reduce dietary AGEs on cognition and on cerebral blood flow (CBF). Methods: The design is a pilot randomized controlled trial of dietary AGEs reduction in older adults with type 2 diabetes. Seventy-five participants were randomized to two arms. The control arm received standard of care (SOC) guidelines for good glycemic control; the intervention arm, in addition to SOC guidelines, were instructed to reduce their dietary AGEs intake. Global cognition and CBF were assessed at baseline and after 6 months of intervention. Results: At baseline, we found a reverse association between AGEs and cognitive functioning, possibly reflecting the long-term toxicity of AGEs on the brain. There was a significant improvement in global cognition at 6 months in both the intervention and SOC groups which was more prominent in participants with mild cognitive impairment. We also found that at baseline, higher AGEs were associated with increased CBF in the left inferior parietal cortex; however, 6 months of the AGEs lowering intervention did not affect CBF levels, despite lowering AGEs exposure in blood. Conclusion: The current pilot trial focused on the feasibility and methodology of intervening through diet to reduce AGEs in older adults with type 2 diabetes. Our results suggest that participants with mild cognitive impairment may benefit from an intensive dietary intervention.

scholarly journals DIABETES, SELF-EFFICACY TOWARD DIABETES PREVENTIVE BEHAVIORS, AND DEPRESSIVE SYMPTOMS AMONG KOREAN AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S711-S711
Author(s):  
Soyeon Cho
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Asian Americans ◽  
Self Efficacy ◽  
Korean Americans ◽  
Community Dwelling ◽  
Self Management ◽  
Preventive Behaviors

Abstract Type 2 diabetes is a largely preventive chronic disease, which requires persevering self-management by maintaining healthy life style. Prevalence of Type 2 diabetes among Asian Americans are rapidly increasing, yet little is known about Asian Americans’ self-efficacy towards diabetes preventive behaviors. Thus, the present study examined self-efficacy on diabetes preventive behaviors (DPB) as a potential mediator in the association between diabetes and depressive symptoms among older Korean Americans. Data were driven from a cross-sectional study of 235 community-dwelling Korean American older adults (aged 60 and older) in 2013. The direct significant relation between diabetes and depressive symptoms became insignificant after self-efficacy on DPB was introduced, which demonstrates a full mediation effect of self-efficacy on DPB. Results suggest that even in the presence of diabetes, mental well-being such as depression of older adults can be maintained by having competence in self-management of their own health.

A diabetes self-management tablet-based application for older adults with type 2 diabetes: The ASSISTwell pilot study

2020 ◽  
Vol 41 (6) ◽  
pp. 839-845
Author(s):  
Mohammad Y. Alkawaldeh ◽  
Jeungok Choi ◽  
Cynthia S. Jacelon
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Pilot Study ◽  
Self Management

Self-Management of Type 2 Diabetes: The Lived Experience of Older Adults With Life-Altering Complications

2015 ◽  
Vol 69 (Suppl. 1) ◽  
pp. 6911510130p1
Author(s):  
Rachelle Dorne ◽  
Catherine Pierce ◽  
Christina Pratt ◽  
Wanda Mahoney ◽  
Jan Garbarini
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Lived Experience ◽  
Self Management

scholarly journals Type 2 diabetes and cardiovascular disease increase the risk of cognitive impairment and accelerate the progression to dementia in Swedish older adults

2020 ◽  
Vol 16 (S10) ◽  
Author(s):  
Abigail Dove ◽  
Ying Shang ◽  
Giulia Grande ◽  
Erika J Laukka ◽  
Laura Fratiglioni ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Older Adults ◽  
Cognitive Impairment
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