Hypoglycemia and the risk of cognitive impairment and dementia in elderly and senile patients with type 2 diabetes

Research results show that poor glycemic control and recurrent episodes of severe hypoglycaemia are associated with a decrease in cognitive function in elderly people with type 2 diabetes mellitus (T2DM). On the other hand, patients with diabetes mellitus associated with cognitive impairment/dementi...

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Main Authors: Olga D. Ostroumova, Elena V. Surkova, Irina V. Goloborodova, Antonina V. Starodubova, Alexey I. Kochetkov, Tamara D. Kiknadze, Gagik R. Galstyan
Format: Article
Language:English
Published: Endocrinology Research Centre 2020-04-01
Series:Сахарный диабет
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Online Access:https://www.dia-endojournals.ru/jour/article/view/10202
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author Olga D. Ostroumova
Elena V. Surkova
Irina V. Goloborodova
Antonina V. Starodubova
Alexey I. Kochetkov
Tamara D. Kiknadze
Gagik R. Galstyan
author_facet Olga D. Ostroumova
Elena V. Surkova
Irina V. Goloborodova
Antonina V. Starodubova
Alexey I. Kochetkov
Tamara D. Kiknadze
Gagik R. Galstyan
author_sort Olga D. Ostroumova
collection DOAJ
description Research results show that poor glycemic control and recurrent episodes of severe hypoglycaemia are associated with a decrease in cognitive function in elderly people with type 2 diabetes mellitus (T2DM). On the other hand, patients with diabetes mellitus associated with cognitive impairment/dementia are most at risk of developing hypoglycaemic conditions. It is obvious that the relationship between hypoglycaemia and dementia is very complex and has a mutually aggravating nature. Studies also show that individuals of older age groups with diabetes and cognitive impairment have a high risk of developing hypoglycaemic conditions, such as unwanted side effects from glucose-lowering therapy. In this case, of particular interest is the question that is being actively studied at the present time, which is concerning the effect of different groups of glucose-lowering antidiabetic drugs on the cognitive status and the rate of cognitive decline in diabetic patients with cognitive impairment. In this review, we attempted to summarise, systematise, and present data available in the literature concerning the effect of hypoglycaemia on the risk of cognitive impairment and dementia in elderly and senile patients with type-2 diabetes, as well as the degree of participation in this process of of various groups of sugar-lowering antidiabetic drugs.
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spelling doaj-art-34b4b191a1704fb8b99d7c5aae6cc87f2025-08-20T01:57:08ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782020-04-01231728710.14341/DM1020210595Hypoglycemia and the risk of cognitive impairment and dementia in elderly and senile patients with type 2 diabetesOlga D. Ostroumova0Elena V. Surkova1Irina V. Goloborodova2Antonina V. Starodubova3Alexey I. Kochetkov4Tamara D. Kiknadze5Gagik R. Galstyan6A.I. Evdokimov Moscow State Medical-Stomatological University; I.M. Sechenov Sechenov First Moscow State Medical UniversityEndocrinology Research CentreA.I. Evdokimov Moscow State Medical-Stomatological UniversityFederal Research Centre of Nutrition, Biotechnology and Food Safety; N.I. Pirogov Russian National Research Medical UniversityN.I. Pirogov Russian National Research Medical University; Russian Clinical and Research Center of GerontologyFederal Research Centre of Nutrition, Biotechnology and Food SafetyEndocrinology Research CentreResearch results show that poor glycemic control and recurrent episodes of severe hypoglycaemia are associated with a decrease in cognitive function in elderly people with type 2 diabetes mellitus (T2DM). On the other hand, patients with diabetes mellitus associated with cognitive impairment/dementia are most at risk of developing hypoglycaemic conditions. It is obvious that the relationship between hypoglycaemia and dementia is very complex and has a mutually aggravating nature. Studies also show that individuals of older age groups with diabetes and cognitive impairment have a high risk of developing hypoglycaemic conditions, such as unwanted side effects from glucose-lowering therapy. In this case, of particular interest is the question that is being actively studied at the present time, which is concerning the effect of different groups of glucose-lowering antidiabetic drugs on the cognitive status and the rate of cognitive decline in diabetic patients with cognitive impairment. In this review, we attempted to summarise, systematise, and present data available in the literature concerning the effect of hypoglycaemia on the risk of cognitive impairment and dementia in elderly and senile patients with type-2 diabetes, as well as the degree of participation in this process of of various groups of sugar-lowering antidiabetic drugs.https://www.dia-endojournals.ru/jour/article/view/10202hypoglycemiacognitive impairmentdementiadiabetes mellitusantidiabetic drugs
spellingShingle Olga D. Ostroumova
Elena V. Surkova
Irina V. Goloborodova
Antonina V. Starodubova
Alexey I. Kochetkov
Tamara D. Kiknadze
Gagik R. Galstyan
Hypoglycemia and the risk of cognitive impairment and dementia in elderly and senile patients with type 2 diabetes
Сахарный диабет
hypoglycemia
cognitive impairment
dementia
diabetes mellitus
antidiabetic drugs
title Hypoglycemia and the risk of cognitive impairment and dementia in elderly and senile patients with type 2 diabetes
title_full Hypoglycemia and the risk of cognitive impairment and dementia in elderly and senile patients with type 2 diabetes
title_fullStr Hypoglycemia and the risk of cognitive impairment and dementia in elderly and senile patients with type 2 diabetes
title_full_unstemmed Hypoglycemia and the risk of cognitive impairment and dementia in elderly and senile patients with type 2 diabetes
title_short Hypoglycemia and the risk of cognitive impairment and dementia in elderly and senile patients with type 2 diabetes
title_sort hypoglycemia and the risk of cognitive impairment and dementia in elderly and senile patients with type 2 diabetes
topic hypoglycemia
cognitive impairment
dementia
diabetes mellitus
antidiabetic drugs
url https://www.dia-endojournals.ru/jour/article/view/10202
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