ECE2024 Poster Presentations Diabetes, Obesity, Metabolism and Nutrition (130 abstracts)
National Nutrition Institute, Department of Nutritional Diseases D, Tunisia
Introduction: Cognitive disorders are common in the elderly population. Diabetes accelerates cognitive deterioration in this population. We aimed to estimate the frequency of cognitive disorders in elderly diabetics ubjects.MethodsThis was a cross-sectional study including200 elderly diabetic patients. Cognitive function was assessed using the Mini Mental State Examination (MMSE) score. Participants having a score below 26 were considered cognitively impaired.ResultsMedian HbA1C was 8.66%. The median MMSE score was 26 (IIQ= [23-27]). A score <26 was recorded in 28.5% of patients. We noted that cognitive impairment was more frequent in women (P<0.001) and that it increased with age (p=0.034). thus, cognitive disorders were found in 22.1% of patients aged between 70 and 75, 53.3% of patients aged between 75 and 80, and 44.4% of patients aged over 80. Patients with cognitive impairment, hadmore frequently a poor glycemic control (70.2% vs 51.1% P<0.001) and a higher frequency of mild and sever hypoglycemia (43.9% vs 27.3% p=0.023), than those without cognitive disorders.ConclusionCognitive disorders are common among older diabetics. Systematic screening and optimization of treatment are essential in these patients.