Executive cognitive impairment detected by simple bedside testing is associated with poor glycaemic control in type 2 diabetes
| 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.date.updated | 2016-01-07T08:12:49Z | |
| 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.identifier.apacitation | de Wet, H., Levitt, N., & Tipping, B. (2007). Executive cognitive impairment detected by simple bedside testing is associated with poor glycaemic control in type 2 diabetes. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/21789 | en_ZA |
| dc.identifier.chicagocitation | de Wet, Hayley, Naomi Levitt, and Brent Tipping "Executive cognitive impairment detected by simple bedside testing is associated with poor glycaemic control in type 2 diabetes." <i>South African Medical Journal</i> (2007) http://hdl.handle.net/11427/21789 | en_ZA |
| 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.ris | TY - Journal Article AU - de Wet, Hayley AU - Levitt, Naomi AU - Tipping, Brent AB - 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. DA - 2007 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2007 T1 - Executive cognitive impairment detected by simple bedside testing is associated with poor glycaemic control in type 2 diabetes TI - Executive cognitive impairment detected by simple bedside testing is associated with poor glycaemic control in type 2 diabetes UR - http://hdl.handle.net/11427/21789 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/21789 | |
| dc.identifier.uri | http://www.ajol.info/index.php/samj/article/view/13927 | |
| dc.identifier.vancouvercitation | de Wet H, Levitt N, Tipping B. Executive cognitive impairment detected by simple bedside testing is associated with poor glycaemic control in type 2 diabetes. South African Medical Journal. 2007; http://hdl.handle.net/11427/21789. | en_ZA |
| dc.language.iso | eng | |
| dc.publisher.department | Department of Medicine | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| 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 |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |