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- W2897968222 abstract "Older people with diabetes are at increased risk for dementia. Despite guidelines that recommend screening for dementia in this population, this screening is rarely done in primary care. As part of the Israel National Plan to Address Alzheimer's Disease and Other Dementias, the Leumit health fund initiated the Dementia Diagnosis among Diabetics in Elderly: Motivational Enhancement and Nurses Training to Improve Adherence to a diabetes care project. (3D-EMENTIA). 36 nurses were trained to screen for dementia. Using the diabetes registry of the health fund, people over 65 with diabetes without a dementia diagnosis were invited for screening using the Montreal Cognitive Assessment (MOCA). Of 168 older people with diabetes who underwent cognitive screening, 74(44.0%) scored in the normal range, 57 (33.9%) had mild cognitive impairment (MOCA 20-24) and 37 (22%) had scores in the dementia range (MOCA < 20). Average HBA1C and LDL cholesterol levels increased across the 3 groups of increasing cognitive impairment In addition, more visits to the primary care physician and fewer visits to the endocrinologist and dietician occurred with worsening cognitive impairment. Older people with the worst cognitive impairment were more likely to have been hospitalized and have a longer hospital stay than those in the mild cognitive impairment and normal cognition groups. A project to train nurses to screen for dementia was successful in identifying undiagnosed cognitive impairment. Increasing cognitive impairment in older people with diabetes was associated with poor diabetes control, less specialized care, and more hospitalizations." @default.
- W2897968222 created "2018-10-26" @default.
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- W2897968222 date "2018-07-01" @default.
- W2897968222 modified "2023-10-16" @default.
- W2897968222 title "P2‐532: TRAINING NURSES TO SCREEN FOR DEMENTIA IN OLDER PEOPLE WITH DIABETES" @default.
- W2897968222 doi "https://doi.org/10.1016/j.jalz.2018.06.1226" @default.
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