Cognitive dysfunction and glycemic management associated with type 2 diabetes mellitus
Received:June 05, 2021  
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DOI:10.11915/j.issn.1671-5403.2022.07.118
Key words:cognitive dysfunction  type 2 diabetes mellitus  HbA1c  glycemic management This work was supported by the National Natural Science Foundation of China
Author NameAffiliationE-mail
MA Fan-Yuan Department of Geriatrics, First Affiliated Hospital of Air Force Medical University, Xi′an 710032, China  
WU Li-Ping Department of Geriatrics, First Affiliated Hospital of Air Force Medical University, Xi′an 710032, China  
WANG Xiao-Ming Department of Geriatrics, First Affiliated Hospital of Air Force Medical University, Xi′an 710032, China  
ZHANG Hua Department of Geriatrics, First Affiliated Hospital of Air Force Medical University, Xi′an 710032, China zhanghua77@fmmu.edu.cn 
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Abstract:
      Cognitive dysfunction, including mild cognitive impairment, Alzheimer′s disease and dementia, is increasingly recognized as significant comorbidities or complications of type 2 diabetes mellitus (T2DM), disrupting glycemic management. This paper reviews the association between T2DM and cognitive dysfunction and glycemic control, screening and diagnosis of risk factors, T2DM management in patients with cognitive dysfunction (considering advanced age and frailty in older adults), and emerging preventative therapies. Satisfactory glycemic management and early cognitive testing are essential components of T2DM management, and persona-lized strategies should be implemented, including patient education, glycemic monitoring, and appropriate dietary and medication adjustments based on daily conditions (including physical exercises).
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