Executive Function and Diabetes Mellitus - A Stone Left Unturned?

Hdl Handle:
http://hdl.handle.net/10147/206598
Title:
Executive Function and Diabetes Mellitus - A Stone Left Unturned?
Affiliation:
Dept. of Endocrinology, Royal College of Surgeons in Ireland, Connolly Hospital, , Blanchardstown, Dublin 15, Ireland. diabetes.centre@hse.ie.
Citation:
Curr Diabetes Rev. 2012 Jan 23;8(1).
Journal:
Current diabetes reviews
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206598
PubMed ID:
22268397
Abstract:
Diabetes mellitus (DM) is a chronic medical condition that is dependent upon patients self-caring and managing their condition to achieve optimal control. Adherence to medical therapy, making decisions related to lifestyle changes, and self-treating hypoglycaemia for example, require planning and organisational skills that are under the control of a specific domain of cognitive function known as executive function. Executive function has been shown by functional imaging studies such as magnetic resonance imaging to be under the influence of the frontal and prefrontal cortical system. It is now recognised that even in subjects with apparently normal cognition, DM may be associated with impaired executive function (IEF). The exact cause of IEF in DM is still not fully understood. However cerebral microvascular disease and chronic dysglycaemia have been postulated as possible factors contributing to functional neuronal dysfunction leading to IEF. IEF may adversely affect patients' abilities to self-manage their diabetes care, potentially cause worsening glycaemic control and difficulty managing risk factors. Several bedside assessment tools to screen for IEF are currently available and have been shown to correlate with functional status. However, more studies are needed to validate these tests against diabetes self-care assessment tools. Until then, clinicians and healthcare workers managing patients with DM should be aware of the potential for IEF in their patients as specific behaviour and education intervention may be needed to help manage patients with diabetes and IEF.
Language:
ENG
ISSN:
1875-6417 (Electronic); 1573-3998 (Linking)

Full metadata record

DC FieldValue Language
dc.date.accessioned2012-01-31T16:22:36Z-
dc.date.available2012-01-31T16:22:36Z-
dc.date.issued2012-01-31T16:22:36Z-
dc.identifier.citationCurr Diabetes Rev. 2012 Jan 23;8(1).en_GB
dc.identifier.issn1875-6417 (Electronic)en_GB
dc.identifier.issn1573-3998 (Linking)en_GB
dc.identifier.pmid22268397en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206598-
dc.description.abstractDiabetes mellitus (DM) is a chronic medical condition that is dependent upon patients self-caring and managing their condition to achieve optimal control. Adherence to medical therapy, making decisions related to lifestyle changes, and self-treating hypoglycaemia for example, require planning and organisational skills that are under the control of a specific domain of cognitive function known as executive function. Executive function has been shown by functional imaging studies such as magnetic resonance imaging to be under the influence of the frontal and prefrontal cortical system. It is now recognised that even in subjects with apparently normal cognition, DM may be associated with impaired executive function (IEF). The exact cause of IEF in DM is still not fully understood. However cerebral microvascular disease and chronic dysglycaemia have been postulated as possible factors contributing to functional neuronal dysfunction leading to IEF. IEF may adversely affect patients' abilities to self-manage their diabetes care, potentially cause worsening glycaemic control and difficulty managing risk factors. Several bedside assessment tools to screen for IEF are currently available and have been shown to correlate with functional status. However, more studies are needed to validate these tests against diabetes self-care assessment tools. Until then, clinicians and healthcare workers managing patients with DM should be aware of the potential for IEF in their patients as specific behaviour and education intervention may be needed to help manage patients with diabetes and IEF.en_GB
dc.language.isoENGen_GB
dc.titleExecutive Function and Diabetes Mellitus - A Stone Left Unturned?en_GB
dc.contributor.departmentDept. of Endocrinology, Royal College of Surgeons in Ireland, Connolly Hospital, , Blanchardstown, Dublin 15, Ireland. diabetes.centre@hse.ie.en_GB
dc.identifier.journalCurrent diabetes reviewsen_GB
dc.description.provinceLeinster-

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