Resumo

DIAZ, M CARBAJAL et al. Asociación entre trastornos neurocognitivos según MiniMental State examination y control glicémico en Diabéticos Mayores de 80 años. Rev. argent. endocrinol. metab. [online]. 2020, vol.57, n.4, pp.1-10. ISSN 1851-3034.

The relationship between diabetes and dementia is well known according to múltiple studies. These non-transmissible chronic conditions have a great impact in public health. Nowadays there are several studies that discuss the glycemic control in elderly diabetic patients and there have been controversies about this topic, especially in the strict glycemic management in very old populations. The objective of the study is to determine the relationship between cognitive impairment according to MiniMental State Examination procedure in appropriately controlled glycemic index in 80 years old diabetic adults versus not appropriately controlled, who were monitored at the Navy Medical Center between 2017 and 2018. The research consisted of an analytical, transversal and retrospective secondary analysis of a database. The final sample consisted of 66 participants. The glycemic control and the degree of neurocognitive impairment were evaluated. A descriptive analysis of the main variables was made and a bivariate analysis comparing the covariables with the dependent variable. Finally, all the meaningful variables in the bivariate analysis were included in the Poisson regression model. In the results it was observed that 92.42% did not have and adequate glycemic control and 22.73% of those presented neurocognitive impairments (NCI). The mean glucose value in the group without NCI was 99.53 ±16.26 and the group with NCI 117.40 ± 55.01. Furthermore, the glycosylated hemoglobin was on average of 7.96% ± 0.55 in the NCI group and 5.81 ± 0.54 % in the group without NCI. In the adjusted regression model, the value obtained was 1.13 (1.11-1.26). It was concluded that the patients with an inadequate glycemic control were more at risk of suffering cognitive decline.

Palavras-chave : Mental Status and Dementia Tests; Dementia; Diabetes Mellitus; Hyperglycemia; Geriatrics.

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