The prevalence of Cognitive Impairment in Patients with Type II Diabetes and its Relationship with Quality of Life, Self-Management Profiles, and HbA۱c

Objective: Diabetes mellitus (DM) is a common metabolic. One of the unknown complications of DM is cognitive disorders. Different types of cognitive impairment caused by DM may affect the quality of life, self-management of diabetes, and glycosylated hemoglobin. This study aimed to determine the prevalence of cognitive impairment and its relationship with glycosylated hemoglobin (HbA۱c), diabetes self-management, and quality of life among diabetic patients. Materials and Methods: This cross-sectional study was performed on ۳۵۰ patients with type II diabetes (T۲DM) admitted to Shiraz University of Medical Sciences clinics for ۷ months. All the participants completed the brief psychological, demographic, quality of life, and self- management profile questionnaires. Then, HbA۱c levels were examined. The data were analyzed using the SPSS statistical software, version ۱۶. Results: According to the results, ۴۰.۳% of the patients had normal cognition, while ۴۴.۹% and ۱۴.۹% had mild and moderate cognitive impairment, respectively. Moreover, a significant relationship was found between the cognitive impairment score and HbA۱c level, some aspects of quality of life, and self-management profile. Conclusion: DM was associated with changes in cognition. Besides, cognitive impairment was associated with some domains of quality of life and self-management profile; as the cognitive impairment score increased, quality of life and self-management profile increased, as well. Also, a decreasing trend was observed in HbA۱c levels in moderate to normal cognitive impairment states.

کلیدواژه ها:

Cognitive impairment ، Type II diabetes ، Quality of life ، Self-management profiles ، Hemoglobin A۱c