Management of Older People With Diabetes - A Focus On Mental Functions

Abstract

The prevalence of diabetes in older people is increasing. Diabetes in old age is associated with increased risk of mental dysfunction. Cognitive dysfunction and mood disorders such as depression, anxiety and diabetes-related distress tend to coexist in older people with diabetes and appear to have bidirectional relationship acting as a risk factor and, at the same time, as a consequence of diabetes. To break the vicious circle of this complex reciprocal relationship between diabetes and mental dysfunction, early identification and treatment is important. Healthy lifestyle, appropriate glycaemic control, hypoglycaemia risk reduction and an organised and a holistic care is appropriate. Therefore, health care professionals involved in the care of older people with diabetes should be aware of this associated mental dysfunction and a collaborative care approach that includes integrated care of both physical and mental health is required.