A Scoping Review of Dementia and Diabetes Co-Morbidity Care
Main Article Content
Abstract
Diabetes mellitus is a common co-morbidity with dementia. Diabetes is usually a self-managed condition requiring an individual to have a high level of cognitive functioning; hence dementia makes managing diabetes very challenging for the individual with dementia and their caregivers. The purpose of this literature review was to synthesise what is currently known about diabetes and dementia co-morbidity care outcomes.
Online databases (AMED, CINAHL, PROQUEST, EBM Reviews, TRIP, Medline and PsycINFO) were searched for the period 2012 – 2023, from which we selected 27 publications. Of the 27 publications 8 were literature reviews/expert discussion of the literature, 1 audit, 1 case report, 5 cohort studies, 2 cross sectional studies, 4 mixed methods studies, 2 realist reviews, 1 longitudinal observation study and 3 qualitative studies. Selected literature was from the UK, USA, Canada, Japan, Austria, Germany, France and Poland. Five themes permeated this literature: key principles of care, challenges of diabetes management as a consequence of dementia, complexity of care, quality of care and workforce issues. This review highlights the complexity of care for those with co-morbid diabetes and dementia, which are both progressive diseases which change over time. There is a need to develop the underpinning evidence base in order to provide guidelines for best practice, to support staff to deliver appropriate care to people living with this co-morbidity
Keywords:
Dementia, Diabetes, co-morbidity, complexity, glucose monitoring, scoping review
Article Details
How to Cite
MURRAY, Jane et al.
A Scoping Review of Dementia and Diabetes Co-Morbidity Care.
Medical Research Archives, [S.l.], v. 12, n. 4, apr. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5079>. Date accessed: 21 nov. 2024.
doi: https://doi.org/10.18103/mra.v12i4.5079.
Section
Review Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
1. Alzheimer’s Society. Local dementia statistics. 2023. https://www.alzheimers.org.uk/about-us/policy-and-influencing/local-dementia-statistics. Accessed 20th June 2023
2. Thorpe CT, Thorpe JM, Kind AJMH, Bartels CM, Everett CM, Smith MA. Receipt of Monitoring of Diabetes Mellitus in Older Adults with Comorbid Dementia. Journal of the American Geriatrics Society. 2012;60 (4) 644 – 651
3. Sinclair AJ, Hillson R, Bayer AJ. Diabetes and dementia in older people: a Best Clinical Practice Statement by a multidisciplinary National Expert Working Group. Diabetic Medicine. 2014;31 (9) 1021 – 1150
4. Du Y, Paiva K, Cebula A, Kim S, Lopez K, Li C, White C, Myneni S, Seshadri S, Wang J. Diabetes-Related Topics in an Online Forum for Caregivers of Individuals Living With Alzheimer Disease and Related Dementias: Qualitative Inquiry. Journal of Medical Internet Research. 2020;22 (7) 1 – 14
5. Rahman SU, Hirano Y, Hirakawa Y, Yatsuya H. Diabetes management in people living with dementia in Japan: a qualitative exploration. Psychogeriatrics. 2022;22 (5) 593 – 772
6. Alagiakrishnan K, Sclater A. Psychiatric Disorders Presenting in the Elderly with Type 2 Diabetes Mellitus. The American Journal of Geriatric Psychiatry. 2012;20 (8) 645 – 652
7. Santos T, Lovell J, Shiell K, Johnson M, Ibrahim JE. The impact of cognitive impairment in dementia on self‐care domains in diabetes: A systematic search and narrative review. Diabetes/Metabolism Research and Reviews. 2018;34 (6) 1-16
8. Yarnell AJ, Hayes L, Hawthorne GC, Candlish CA, Aspray TJ. Short Report: Care Delivery Diabetes in care homes: current care standards and residents’ experience. Diabetic Medicine. 2011;29 (1) 132 – 135
9. Bunn F, Burn AM, Goodman C, Rait G, Norton S, Robinson L, Schoeman J, Brayne C. Co-morbidity and dementia: a scoping review of the literature. BMC Medicine. 2014;12 (192) 1 – 15
10. Punthakee Z, Miller ME, Launer LJ, Williamson JD, Lazar RM, Cukierman-Yaffee T, Seaquist ER, Ismail-Beigi F, Sullivan MD, Lovato LC, Bergenstal RM, Gerstei HC. Poor Cognitive Function and Risk of Severe Hypoglycaemia in Type 2 Diabetes. Diabetes Care. 2012;35 787 – 793
11. Feil DG, Lukman R, Simon B, Walston A, Vickrey B. Impact of dementia on caring for patients’ diabetes. Aging and Mental Health. 2011;15 (7) 894 – 903
12. Munn Z, Peters MD, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology. 2018;143. https://doi.org/10.1186/s12874-018-0611-x
13. NICE. NICE Guideline 28 Type 2 diabetes in adults: management. 2022a https://www.nice.org.uk/guidance/ng28/chapter/Recommendations Accessed 26.06. 2023
14. Bunn F, Burn AM, Goodman C, Robinson L, Rait G, Norton S, Bennet H, Poole M, Schoeman J, Brayne C. Co-morbidity and dementia: a mixed-method study on improving health care for people with dementia (CoDem). Health services and delivery Research. 2016;4 (8)
15. TREND and Diabetes UK. End of Life Care for Diabetes Care. Trend Diabetes. 2021. https://diabetes-resources-production.s3.eu-west-1.amazonaws.com/resources-s3/public/2021-11/EoL_TREND_FINAL2_0.pdf Accessed 20/06/2023
16. Barman NR, Casten RJ, Rovner BW. Diabetes Distress, Daily Functioning, and A1C in Older Black Individuals With Diabetes and Mild Cognitive Impairment. Diabetes Spectrum. 2021;34 (3) 301 – 307
17. Mattishent K, Lane K, Salter C, Dhatariya K, May HM, Neupane S, Loke YK. Continuous glucose monitoring in older people with diabetes and memory problems: a mixed-methods feasibility study in the UK. BMJ Open. 2019;9e032037
18. Palmer SJ. Tackling diabetes management in patients with dementia: the use of continuous glucose monitoring. Nursing and Residential Care. 2020;22 (1) 38 – 42
19. Kim MJ, Fritschi C. Relationships Between Cognitive Impairment and Self-Management in Older Adults With Type 2 Diabetes: An Integrative Review. Gerontological Nursing. 2020;14 (2). 104 – 125
20. Hopkins R, Shaver K, Weinstock RS. Management of Adults with Diabetes and Cognitive problems. Spectrum Diabetes Journals. 2016;29 (4) 224 –237
21. Swiatoniowska-Lonc N, Polanski J, Tanski W, Jankowska-Polanska B. Impact of Cognitive Impairment on Adherence to Treatment and Self-Care in Patients with Type 2 Diabetes Mellitus. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2021;14 193 – 203
22. Alves RV, Smith L , Manchip S. Dementia and diabetes. 2013 https://pavilionhealthtoday.com/gm/dementia-and-diabetes/ Accessed 25.06.2023
23. Abdelhafiz A, McNicholas E, Sinclair AJ. Hypoglycemia, frailty and dementia in older people with diabetes: Reciprocal relations and clinical implications. Journal of Diabetes and its Complications. 2016;30 (8) 1548 – 1554
24. Kamimuro T, Ito H. Glycemic control in a 79-year-old female with mild cognitive impairment using a medication reminder device: a case report. International Psychogeriatrics. 2014;6 1045 – 1048
25. Sugimoto T, Ono R, Kimura A, Niida S, Toba K, Sakurai T. Impact of Glycaemic Control on Daily Living Activities Over 1-Year Follow-up in Memory Clinic Patients With Diabetes. JAMDA. 2019;20 (6). 792 – 794
26. Bunn F, Burn AM, Goodman C, Jones PR, Russell B, Trivedi D, Sinclair A, Bayer A, Rait G, Rycroft-Malone J, Burton C. Managing diabetes in people with dementia: a realist review. Health Technology Assessment. 2017a;21 (75)
27. Bunn F, Goodman C, Jones PR, Russell B, Trivedi D, Sinclair A, Bayer A, Rait G, Rycroft-Malone J, Burton C. What works for whom in the management of diabetes in people living with dementia: a realist review. BMC Medicine. 2017b;15 (141) 1- 19
28. NICE. NICE Guideline 17 Type 1 diabetes in adults: diagnosis and management. 2022b. https://www.nice.org.uk/guidance/ng17. Accessed 07/07/2023
29. Gungabissoon U, Broadbent M, Perera G, Ashworth M, Galwey N, Stewart R. The Impact of Dementia on Diabetes Control: An Evaluation of HbA1c Trajectories and Care Outcomes in Linked Primary and Specialist Care Data. JAMDA. 2022;23. 1555-1563
30. Wargny M, Gallini A, Hanaire H, Nourhashemi F, Andrieu S, Gardette V. Diabetes Care and Dementia Among Older Adults: A Nationwide 3-Year Longitudinal Study. JAMDA. 2018;19 (7) 601 – 606
31. Prinz N, Stingl J, Dapp A, Denkinger MD, Fashing P, Jehle PM, Merger S, Muhldorfer S, Pieper U, Schuler A, Zeyfang A, Hol R. High rate of hypoglycemia in 6770 type 2 diabetes patients with comorbid dementia: A multicenter cohort study on 215,932 patients from the German/Austrian diabetes registry. Diabetes Res Clin Pract. 2016;112 73 -81
32. Mental Capacity Act. UK. 2005. https://www.legislation.gov.uk/ukpga/2005/9/contents Accessed 26.03.2023 https://www.nice.org.uk/guidance/ng28/chapter/Recommendations
33. NHS England. The framework for enhanced health in care homes. V2. 001681. London. NHS England. 2020. Great Britain.
34. Department of Health and Social Care. Major conditions strategy: case for change and our strategic framework (England). 2023.London. HMSO
2. Thorpe CT, Thorpe JM, Kind AJMH, Bartels CM, Everett CM, Smith MA. Receipt of Monitoring of Diabetes Mellitus in Older Adults with Comorbid Dementia. Journal of the American Geriatrics Society. 2012;60 (4) 644 – 651
3. Sinclair AJ, Hillson R, Bayer AJ. Diabetes and dementia in older people: a Best Clinical Practice Statement by a multidisciplinary National Expert Working Group. Diabetic Medicine. 2014;31 (9) 1021 – 1150
4. Du Y, Paiva K, Cebula A, Kim S, Lopez K, Li C, White C, Myneni S, Seshadri S, Wang J. Diabetes-Related Topics in an Online Forum for Caregivers of Individuals Living With Alzheimer Disease and Related Dementias: Qualitative Inquiry. Journal of Medical Internet Research. 2020;22 (7) 1 – 14
5. Rahman SU, Hirano Y, Hirakawa Y, Yatsuya H. Diabetes management in people living with dementia in Japan: a qualitative exploration. Psychogeriatrics. 2022;22 (5) 593 – 772
6. Alagiakrishnan K, Sclater A. Psychiatric Disorders Presenting in the Elderly with Type 2 Diabetes Mellitus. The American Journal of Geriatric Psychiatry. 2012;20 (8) 645 – 652
7. Santos T, Lovell J, Shiell K, Johnson M, Ibrahim JE. The impact of cognitive impairment in dementia on self‐care domains in diabetes: A systematic search and narrative review. Diabetes/Metabolism Research and Reviews. 2018;34 (6) 1-16
8. Yarnell AJ, Hayes L, Hawthorne GC, Candlish CA, Aspray TJ. Short Report: Care Delivery Diabetes in care homes: current care standards and residents’ experience. Diabetic Medicine. 2011;29 (1) 132 – 135
9. Bunn F, Burn AM, Goodman C, Rait G, Norton S, Robinson L, Schoeman J, Brayne C. Co-morbidity and dementia: a scoping review of the literature. BMC Medicine. 2014;12 (192) 1 – 15
10. Punthakee Z, Miller ME, Launer LJ, Williamson JD, Lazar RM, Cukierman-Yaffee T, Seaquist ER, Ismail-Beigi F, Sullivan MD, Lovato LC, Bergenstal RM, Gerstei HC. Poor Cognitive Function and Risk of Severe Hypoglycaemia in Type 2 Diabetes. Diabetes Care. 2012;35 787 – 793
11. Feil DG, Lukman R, Simon B, Walston A, Vickrey B. Impact of dementia on caring for patients’ diabetes. Aging and Mental Health. 2011;15 (7) 894 – 903
12. Munn Z, Peters MD, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology. 2018;143. https://doi.org/10.1186/s12874-018-0611-x
13. NICE. NICE Guideline 28 Type 2 diabetes in adults: management. 2022a https://www.nice.org.uk/guidance/ng28/chapter/Recommendations Accessed 26.06. 2023
14. Bunn F, Burn AM, Goodman C, Robinson L, Rait G, Norton S, Bennet H, Poole M, Schoeman J, Brayne C. Co-morbidity and dementia: a mixed-method study on improving health care for people with dementia (CoDem). Health services and delivery Research. 2016;4 (8)
15. TREND and Diabetes UK. End of Life Care for Diabetes Care. Trend Diabetes. 2021. https://diabetes-resources-production.s3.eu-west-1.amazonaws.com/resources-s3/public/2021-11/EoL_TREND_FINAL2_0.pdf Accessed 20/06/2023
16. Barman NR, Casten RJ, Rovner BW. Diabetes Distress, Daily Functioning, and A1C in Older Black Individuals With Diabetes and Mild Cognitive Impairment. Diabetes Spectrum. 2021;34 (3) 301 – 307
17. Mattishent K, Lane K, Salter C, Dhatariya K, May HM, Neupane S, Loke YK. Continuous glucose monitoring in older people with diabetes and memory problems: a mixed-methods feasibility study in the UK. BMJ Open. 2019;9e032037
18. Palmer SJ. Tackling diabetes management in patients with dementia: the use of continuous glucose monitoring. Nursing and Residential Care. 2020;22 (1) 38 – 42
19. Kim MJ, Fritschi C. Relationships Between Cognitive Impairment and Self-Management in Older Adults With Type 2 Diabetes: An Integrative Review. Gerontological Nursing. 2020;14 (2). 104 – 125
20. Hopkins R, Shaver K, Weinstock RS. Management of Adults with Diabetes and Cognitive problems. Spectrum Diabetes Journals. 2016;29 (4) 224 –237
21. Swiatoniowska-Lonc N, Polanski J, Tanski W, Jankowska-Polanska B. Impact of Cognitive Impairment on Adherence to Treatment and Self-Care in Patients with Type 2 Diabetes Mellitus. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2021;14 193 – 203
22. Alves RV, Smith L , Manchip S. Dementia and diabetes. 2013 https://pavilionhealthtoday.com/gm/dementia-and-diabetes/ Accessed 25.06.2023
23. Abdelhafiz A, McNicholas E, Sinclair AJ. Hypoglycemia, frailty and dementia in older people with diabetes: Reciprocal relations and clinical implications. Journal of Diabetes and its Complications. 2016;30 (8) 1548 – 1554
24. Kamimuro T, Ito H. Glycemic control in a 79-year-old female with mild cognitive impairment using a medication reminder device: a case report. International Psychogeriatrics. 2014;6 1045 – 1048
25. Sugimoto T, Ono R, Kimura A, Niida S, Toba K, Sakurai T. Impact of Glycaemic Control on Daily Living Activities Over 1-Year Follow-up in Memory Clinic Patients With Diabetes. JAMDA. 2019;20 (6). 792 – 794
26. Bunn F, Burn AM, Goodman C, Jones PR, Russell B, Trivedi D, Sinclair A, Bayer A, Rait G, Rycroft-Malone J, Burton C. Managing diabetes in people with dementia: a realist review. Health Technology Assessment. 2017a;21 (75)
27. Bunn F, Goodman C, Jones PR, Russell B, Trivedi D, Sinclair A, Bayer A, Rait G, Rycroft-Malone J, Burton C. What works for whom in the management of diabetes in people living with dementia: a realist review. BMC Medicine. 2017b;15 (141) 1- 19
28. NICE. NICE Guideline 17 Type 1 diabetes in adults: diagnosis and management. 2022b. https://www.nice.org.uk/guidance/ng17. Accessed 07/07/2023
29. Gungabissoon U, Broadbent M, Perera G, Ashworth M, Galwey N, Stewart R. The Impact of Dementia on Diabetes Control: An Evaluation of HbA1c Trajectories and Care Outcomes in Linked Primary and Specialist Care Data. JAMDA. 2022;23. 1555-1563
30. Wargny M, Gallini A, Hanaire H, Nourhashemi F, Andrieu S, Gardette V. Diabetes Care and Dementia Among Older Adults: A Nationwide 3-Year Longitudinal Study. JAMDA. 2018;19 (7) 601 – 606
31. Prinz N, Stingl J, Dapp A, Denkinger MD, Fashing P, Jehle PM, Merger S, Muhldorfer S, Pieper U, Schuler A, Zeyfang A, Hol R. High rate of hypoglycemia in 6770 type 2 diabetes patients with comorbid dementia: A multicenter cohort study on 215,932 patients from the German/Austrian diabetes registry. Diabetes Res Clin Pract. 2016;112 73 -81
32. Mental Capacity Act. UK. 2005. https://www.legislation.gov.uk/ukpga/2005/9/contents Accessed 26.03.2023 https://www.nice.org.uk/guidance/ng28/chapter/Recommendations
33. NHS England. The framework for enhanced health in care homes. V2. 001681. London. NHS England. 2020. Great Britain.
34. Department of Health and Social Care. Major conditions strategy: case for change and our strategic framework (England). 2023.London. HMSO