Management of Diabetes Mellitus in Demented Patients.

Yoo,  Hyung Joon

doi:2012.13.3.145

J Korean Diabetes > Volume 13(3); 2012 > Article

Focused Issue

The Journal of Korean Diabetes 2012;13(3):145-147.
DOI: https://doi.org/10.4093/jkd.2012.13.3.145 Published online September 30, 2012.

치매 환자에서 당뇨병 관리

유형준

Management of Diabetes Mellitus in Demented Patients.

Hyung Joon Yoo

Division of Endocrinology and Geriatrics, Department of Medicine, Hallym Medical Center Hallym University School of Medicine, Seoul, Korea. hjoonyoo@gmail.com

Abstract

Management of patients with dementia differs from the management of cognitively intact patients. Although dementing illnesses are progressive, the course of dementia should be managed consistently through appropriate therapeutic efforts in order to maintain cognitive function. Irregularity of meals due to impaired cognitive function results in more frequent hypoglycemic episodes, in particular hypoglycemic coma. To prevent such episodes, less intensive glycemic targets should be set, but the risks of both hyperglycemia and hypoglycemia must be considered for each individual and the participation of caregivers is required in developing a treatment strategy. Overall, in the management of demented diabetic patients, a team approach is required and preservation of patient self-esteem is of great importance.

Key Words: Diabetes mellitus, Disease management, Dementia