Cognitive screening among older adults with diabetes across diverse clinic settings

Aims: Diabetes increases risk of cognitive dysfunction and dementia, which can make it harder to manage dia-betes. We aimed to examine cognitive screening for older adults with diabetes in 1) endocrine (Endo), 2) geriatric (Geri) and 3) multidisciplinary endocrine-geriatric (Geri-Endo), to study differences between these settings and to elucidate risk factors of cognitive dysfunction.Methods: We performed cognitive screening for subsets of patients >= age 65 with diabetes in one large healthcare system. We compared results and differences from the three clinic types and used adjusted multivariate logistic regression models to predict risk of cognitive dysfunction.Results: Among 198 patients screened, those in Geri-Endo (N = 86) and Geri (N = 32) were more likely to have lower Mini-Cog scores, higher prevalence of hypertension and cardiovascular (CV) events. Endo and Geri-Endo patients had longer durations of diabetes, higher incidence of hypoglycemia, and were more likely to use insulin. Age > 75 years (p = 0.0105), previous CV events (p = 0.0006) and body mass index < 30 (p = 0.0115) were significantly associated with lower Mini-Cog scores.Conclusions: Our study shows that cognitive screening can help identify at risk older adults with diabetes. Thus, yearly screening should be part of routine diabetes care.

Automated summary

The aim of this study was to examine the risk factors of cognitive dysfunction in patients with diabetes and compare cognitive screening results in different clinical settings. The study found that older adults with diabetes in the geriatric and geriatric-endocrine settings were more likely to have lower Mini-Cog scores and higher prevalence of hypertension and cardiovascular events. Age > 75 years, previous cardiovascular events, and body mass index < 30 were significantly associated with lower Mini-Cog scores.