Executive cognitive impairment detected by simple bedside testing is associated with poor glycaemic control in type 2 diabetes

 

Show simple item record

dc.contributor.author de Wet, Hayley
dc.contributor.author Levitt, Naomi
dc.contributor.author Tipping, Brent
dc.date.accessioned 2016-09-16T06:57:00Z
dc.date.available 2016-09-16T06:57:00Z
dc.date.issued 2007
dc.identifier.citation de Wet, H., Levitt, N., & Tipping, B. (2008). Executive cognitive impairment detected by simple bedside testing is associated with poor glycaemic control in type 2 diabetes. South African medical journal, 97(11), 1074-1076.
dc.identifier.uri http://hdl.handle.net/11427/21789
dc.identifier.uri http://www.ajol.info/index.php/samj/article/view/13927
dc.description.abstract Aims. Cognitive impairment in people with type 2 diabetes is a barrier to successful disease management. We sought to determine whether impaired executive function as detected by a battery of simple bedside cognitive tests of executive function was associated with inadequate glycaemic control. Methods. People with type 2 diabetes attending a tertiary referral diabetic clinic who consented to participate in the study underwent a brief battery of cognitive testing (the Bedside Executive Screening Test) designed to detect executive function impairment. Glycaemic control was determined using blood glycated haemoglobin levels (HBA1c). Inadequate glycaemic control was defined as HBA1c ≥7%. Results. Executive function impairment was detected in 51 (52%) of the 98 study participants. The presence of executive function impairment was significantly associated with poor glycaemic control (HBA1c ≥7%) (odds ratio 4.9, 95% confidence interval 1.3 - 18.8, p=0.019). There were no significant differences between patients with and without executive function impairment with regard to age, target organ damage, patient reported adherence, and hypoglycaemic therapy. Patients with a lower level of education were more likely to demonstrate executive impairment when glycaemic control was poor (p=0.013). Conclusions. Executive function impairment is common in a population of people with difficult-to-manage type 2 diabetes. The presence of executive impairment is significantly associated with poor glycaemic control.
dc.source South African Medical Journal
dc.source.uri http://www.samj.org.za/index.php/samj
dc.title Executive cognitive impairment detected by simple bedside testing is associated with poor glycaemic control in type 2 diabetes
dc.type Journal Article en_ZA
dc.date.updated 2016-01-07T08:12:49Z
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image


Files in this item

This item appears in the following Collection(s)

Show simple item record