Journal article
The relationship between neuropsychological assessment, numeracy, and functional status in older adults with type 1 diabetes
Neuropsychological rehabilitation, Vol.27(4), pp.507-521
05/19/2017
Handle:
https://hdl.handle.net/2376/103987
PMID: 26605669
Abstract
While data are accumulating on the association between neuropsychological performance and real-world endpoints, less is known about the association with medical self-management skills. The self-management of type 1 diabetes (T1D) is often complex, and mismanagement can result in hypoglycaemia and hyperglycaemia and associated morbidity and mortality. The T1D Exchange conducted a case-control study evaluating factors associated with severe hypoglycaemia in older adults (≥ 60 years old) with longstanding T1D (≥ 20 years). A battery of neuropsychological and functional assessments was administered, including measures of diabetes-specific self-management skill (diabetes numeracy) and instrumental activities of daily living (IADL). After adjusting for confounding variables, diabetes numeracy was related to memory and complex speeded attention; while IADL were associated with simple processing speed, executive functioning, complex speeded attention and dominant hand dexterity. The severity of overall cognitive deficit was uniquely associated with both diabetes numeracy and IADL, when controlling for age, education, frailty and depression. This study demonstrates that the cognitive deficits in older adults with T1D have functional implications for both diabetes management and IADL. Further research is needed to determine specific interventions to maximise diabetes self-management in older adults with declining cognition.
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Details
- Title
- The relationship between neuropsychological assessment, numeracy, and functional status in older adults with type 1 diabetes
- Creators
- Naomi S Chaytor - Elson S. Floyd College of Medicine, Washington State UniversityTonya D Riddlesworth - Jaeb Center for Health ResearchSuzan Bzdick - Joslin Diabetes Center, Department of Endocrinology, Diabetes, and Metabolism, State University of New York- Upstate Medical UniversityPeggy S Odegard - School of Pharmacy, University of WashingtonShelly L Gray - School of Pharmacy, University of WashingtonJohn-Paul Lock - Department of Medicine, Division of Diabetes, Diabetes Center of Excellence, University of Massachusetts School of MedicineStephanie N DuBose - Jaeb Center for Health ResearchRoy W Beck - Jaeb Center for Health Research
- Publication Details
- Neuropsychological rehabilitation, Vol.27(4), pp.507-521
- Academic Unit
- Medical Education and Clinical Science, Department of
- Publisher
- Routledge
- Grant note
- Funding was provided by the Leona M. and Harry B. Helmsley Charitable Trust
- Identifiers
- 99900546833901842
- Language
- English
- Resource Type
- Journal article