Endocrine Abstracts

Dementia is increasing day by day as longevity is increasing. There is a underlying need to evaluate Dementiaamongst Diabetics as they are more prone for dementia, By identifying early and preventing the incidence or advance of microangiopathy we can play an important role in maintaining quality of life and reducing mortality in patients with diabetes mellitus. Type 2 diabetes is a robust cause of cognitive impairment and decline in even in younger adults.

Multiple population-based studies have reported an association between Type 2 diabetes and cognitive impairment and older adults with Type 2 diabetes experience global cognitive decline at a rate that is double those without Type 2 diabetes over a 5-year period. General cognitive slowing, thought to be a marker for accelerated brain aging and dementia risk, is related to Type 2 diabetes in middle-aged and older adults.

Patient were selected from central india and inclusion criteria were: diagnosis of Type 2 diabetes; age between 20–60 years; no peripheral or central vestibulopathy or any other neurological disease, no history ofcerebrovascular accident and myocardial infarction. 324 diabetics and 306 non diabeticwere randomly selected, screened by using mini mental status examination questionnaire in local language, results were analysed

A prevalance of 6.7 percent was seen in young diabetics, more in females, non smart phone users, and having low academic qualification, As compared to Non- Diabetics who had a prevalance of 0.7 percent.

There is no data regarding prevalance of dementiain young diabetics in india.

The current understanding about dementia is inadequate for development of appropriate feasible tools for screening the population in early phase of dementia as there is a dearth of manpower and financial resources and huge gaps in research, especially in areas of pathophysiology and disease-modifying pharmacological agents. Therefore, the only viable option as of now is primary prevention of dementia by addressing risk factors and promotion of protective factors. However, for effective handling of epidemic, we need to empower the health-care workers and professionals in screening and management of dementia. An effective systemic health-care model should be developed for delivery of services to the families and patients with dementia keeping our sociocultural beliefs in mind. Every step should be taken to improve awareness regarding dementia and its preventive measures, to halt the epidemic, thereby contributing to a healthy and prosperous nation.